Individual
MRS. SANDRA MICHELLE OTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H
Contact information
Practice address
2 RUBIN DR, RUSHVILLE, NY 14544-9681
(585) 554-4400
Mailing address
2 RUBIN DR, RUSHVILLE, NY 14544-9681
(585) 554-4400
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
021460
NY
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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