Organization
BEACH PERIO, IMPLANTS & MEDSPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE ANNE CIANCIOLA-BEACH DDS (OWNER)
(585) 314-8160
Entity
Organization
Contact information
Practice address
2109 S CLINTON AVE # 146, ROCHESTER, NY 14618-2615
(585) 314-8160
Mailing address
509 WHITE RABBIT TRL, ROCHESTER, NY 14612-2894
(585) 314-8160
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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