Individual
DR. ALAN LITVINOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
126 JACKSON ROAD EXT, PENFIELD, NY 14526-1265
(585) 377-2114
Mailing address
126 JACKSON ROAD EXT, PENFIELD, NY 14526-1265
(585) 377-2114
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050659
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02556912
—
NY
Enumeration date
02/22/2007
Last updated
09/23/2010
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