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Organization

ROCHESTER FAMILY DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALAN NEWMAN (OWNER)
(585) 271-4700
Entity
Organization

Contact information

Practice address
2024 W HENRIETTA RD, SUITE 1A, ROCHESTER, NY 14623-1355
(585) 271-4700
Mailing address
2024 W HENRIETTA RD, SUITE 1A, ROCHESTER, NY 14623-1355
(585) 271-4700

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
030884
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00426917
NY
Enumeration date
02/25/2013
Last updated
02/25/2013
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