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Organization

MICHAEL A. LAROSA DDS. P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL A. LAROSA DDS (PRESIDENT)
(716) 668-8555
Entity
Organization

Contact information

Practice address
1050 FRENCH RD, CHEEKTOWAGA, NY 14227-3704
(716) 668-8555
(716) 668-1110
Mailing address
1050 FRENCH RD, CHEEKTOWAGA, NY 14227-3704
(716) 668-8555
(716) 668-1110

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
040242
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00513209
UNITED CONCORDIA PROV.
01
040242
NYS LICENSE NUMBER
NY
01
4000528
I.H.A. PROV. NUMBER
NY
Enumeration date
06/11/2007
Last updated
08/22/2020
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