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Organization

HARBORSIDE DENTAL TEAM AT CANANDAIGUA

Active
Other names
Harborside Dental Team at Canandaigua
Organization subpart
No

Provider details

NPI number
Authorized official
JORDAN J ANTETOMASO DMD (OWNER)
(585) 394-3736
Entity
Organization

Contact information

Practice address
3170 WEST ST STE 250, CANANDAIGUA, NY 14424-1786
(585) 394-3737
(585) 394-3891
Mailing address
3170 WEST ST STE 250, CANANDAIGUA, NY 14424-1786
(585) 208-9285
(585) 208-9285

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
03/24/2025
Last updated
03/31/2025
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