Individual
CHAYA P CARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
89 GENESEE ST, HEALTHREACH, ROCHESTER, NY 14611-3201
(585) 368-3720
(585) 368-3723
Mailing address
89 GENESEE ST, HEALTHREACH, ROCHESTER, NY 14611-3201
(585) 368-3720
(585) 368-3723
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
055492
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03387657
—
NY
Enumeration date
05/11/2010
Last updated
01/22/2015
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