Organization
ROCHESTER PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA DIMARCO DDS (PEDIATRIC DENTIST)
(585) 381-2190
Entity
Organization
Contact information
Practice address
145 SULLYS TRL STE 1, PITTSFORD, NY 14534-4561
(585) 381-2190
(585) 381-2198
Mailing address
145 SULLYS TRL STE 1, PITTSFORD, NY 14534-4561
(585) 381-2190
(585) 381-2198
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02635096
—
NY
05
—
04805038
—
NY
Enumeration date
09/02/2021
Last updated
10/20/2021
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