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Individual

DR. JANIS P. PRESTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
2154 FAIRPORT NINE MILE PT RD, FAIRPORT, NY 14450-8743
(585) 880-5520
Mailing address
2154 FAIRPORT NINE MILE PT RD, FAIRPORT, NY 14450-8743
(585) 880-5520

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0523801
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1477947786
ORGANIZATION NPI
NY
Enumeration date
04/18/2007
Last updated
11/07/2016
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