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Individual

DR. BRADLEY D KAUFMAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
925 E HENRIETTA RD, ROCHESTER, NY 14623-1409
(585) 424-6400
(585) 424-6426
Mailing address
925 E HENRIETTA RD, ROCHESTER, NY 14623-1409
(585) 424-6400
(585) 424-6426

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
042022
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
70385
EXCELLUS BLUE SHIELD
NY
Enumeration date
06/09/2005
Last updated
07/08/2007
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