Individual
DIANE M GLADSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
620 WESTFALL RD, ROCHESTER, NY 14620-4610
(585) 461-8592
(585) 461-8580
Mailing address
3608 ARMINGTON RD, PALMYRA, NY 14522-9610
(315) 597-5424
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
041402
NY
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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