Organization
BATAVIA ESTHETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIMAL VLADIMIR FRIAS D.D.S (PARTNER)
(585) 343-1958
Entity
Organization
Contact information
Practice address
413 E MAIN ST, BATAVIA, NY 14020-2437
(585) 343-1958
(585) 343-0111
Mailing address
413 E MAIN ST, BATAVIA, NY 14020-2437
(585) 343-1958
(585) 343-0111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
050175
NY
1223P0700X
Prosthodontics
Primary
050656
NY
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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