Individual
ALFONSO ANDRES LARA-BRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
625 ELMWOOD AVE # 683, ROCHESTER, NY 14620-2913
(585) 275-8315
Mailing address
625 ELMWOOD AVE # 683, ROCHESTER, NY 14620-2913
(585) 275-8315
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0597889-1
NY
Other
Enumeration date
06/01/2017
Last updated
07/21/2022
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