Individual
DR. ROGER W TRIFTSHAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5A BATAVIA CITY CTR., BATAVIA, NY 14020-2107
(585) 344-0775
(585) 344-2441
Mailing address
5A BATAVIA CITY CTR, BATAVIA, NY 14020-2107
(585) 344-0775
(585) 344-2441
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0233941
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00627656
—
NY
Enumeration date
09/04/2008
Last updated
09/04/2008
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