Individual
NICHOLAS ALEXANDER SIROTENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1655 ELMWOOD AVE STE 105, ROCHESTER, NY 14620-3426
(585) 427-8620
Mailing address
1655 ELMWOOD AVE STE 105, ROCHESTER, NY 14620-3426
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
064177
NY
Other
Enumeration date
04/20/2022
Last updated
09/10/2024
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