Individual
WARREN JAY WALDOW JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.P.H.
Contact information
Practice address
6819 PITTSFORD PALMYRA RD, FAIRPORT, NY 14450-3504
(585) 223-5010
(585) 223-1927
Mailing address
6819 PITTSFORD PALMYRA RD, FAIRPORT, NY 14450-3504
(585) 223-5010
(585) 223-1927
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
031274
NY
Other
Enumeration date
10/27/2005
Last updated
07/08/2007
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