Organization
HOMETOWN DENTAL GROUP P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL SUSSMAN (VICE PRESIDENT)
(585) 227-4390
Entity
Organization
Contact information
Practice address
34 BUCKMAN RD, ROCHESTER, NY 14615-1406
(585) 227-4390
(585) 227-1549
Mailing address
34 BUCKMAN RD, ROCHESTER, NY 14615-1406
(585) 227-4390
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
34610
NY
Other
Enumeration date
04/30/2008
Last updated
09/25/2023
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