Lac De Ville Dental Practice, Pllc | |
2101 Lac De Ville Blvd Rochester NY 14618-5659 | |
(585) 271-6300 | |
(585) 271-6303 |
Full Name | Lac De Ville Dental Practice, Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 2101 Lac De Ville Blvd, Rochester, New York |
Authorized Official Name and Position | Amy Ames (OWNER) |
Authorized Official Contact | 8586039917 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lac De Ville Dental Practice, Pllc 2101 Lac De Ville Blvd Rochester NY 14618-5659 Ph: (585) 271-6300 | Lac De Ville Dental Practice, Pllc 2101 Lac De Ville Blvd Rochester NY 14618-5659 Ph: (585) 271-6300 |
NPI Number | 1790345791 |
---|---|
Provider Enumeration Date | 06/20/2019 |
Last Update Date | 06/19/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790345791 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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