Individual
AZITA ANISSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
121 SULLY'S TRAIL, SUITE 1, PITTSFORD, NY 14534
(585) 267-7745
(585) 267-7748
Mailing address
121 SULLY'S TRAIL, SUITE 1, PITTSFORD, NY 14534
(585) 267-7745
(585) 267-7748
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
043423-1
NY
Other
Enumeration date
07/12/2006
Last updated
10/09/2009
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