Organization
CRANBERRY DENTAL MANAGEMENT CO., INC.
Active
Other names
Rochester Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA RICHARDS (BUSINESS MANAGER)
(585) 442-1492
Entity
Organization
Contact information
Practice address
10 HAGEN DR STE 230, ROCHESTER, NY 14625-2659
(585) 442-1492
(585) 586-4460
Mailing address
10 HAGEN DR STE 230, ROCHESTER, NY 14625-2659
(585) 442-1492
(585) 586-4460
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
048025
NY
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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