Organization
MODERN PERIODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN JOHN ROMEO DMD (PRESIDENT)
(585) 242-8980
Entity
Organization
Contact information
Practice address
1680 MONROE AVE, SUITE A, ROCHESTER, NY 14618-1417
(585) 242-8980
(585) 256-0578
Mailing address
1680 MONROE AVE, SUITE A, ROCHESTER, NY 14618-1417
(585) 242-8980
(585) 256-0578
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
042046
NY
Other
Enumeration date
10/11/2006
Last updated
08/22/2020
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