Organization
CANANDAIGUA ORAL SURGERY, PC
Active
Organization
CANANDAIGUA ORAL SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP GEOFFREY CARY DDS (OWNER)
(585) 394-3322
Entity
Organization
Contact information
Practice address
500 N MAIN ST, CANANDAIGUA, NY 14424-1022
(585) 394-3322
Mailing address
500 N MAIN ST, CANANDAIGUA, NY 14424-1022
(585) 394-3322
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
039992
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00959182
—
NY
Enumeration date
02/27/2007
Last updated
08/10/2009
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