Organization
ROXANNE LOWENGUTH DDS,MS,PLLC
Active
Other names
RocPerio&Implants
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE LUCIE SKWIRZ (PRACTICE ADMINISTRATOR)
(585) 756-5566
Entity
Organization
Contact information
Practice address
2109 S CLINTON AVE STE 200, ROCHESTER, NY 14618-2615
(585) 756-5566
(585) 756-5567
Mailing address
2109 S CLINTON AVE STE 200, ROCHESTER, NY 14618-2615
(585) 756-5566
(585) 756-5567
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BL1101562
LICENSE NUMBER 040948-1
NY
Enumeration date
02/27/2020
Last updated
02/27/2020
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