Individual
MS. THERESA MCQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
322 LAKE AVE, ROCHESTER, NY 14608-1162
(585) 423-5800
Mailing address
180 S FITZHUGH ST, ROCHESTER, NY 14608-2273
(585) 445-0925
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
023259-1
NY
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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