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Canandaigua Pediatric Dentistry ,pc
Pediatric Dentist in Canandaigua, New York
NPI 1427170844

Canandaigua Pediatric Dentistry ,pc is a Pediatric Dentist based in Canandaigua, NY and is specialized in Pediatric Dentistry. Canandaigua Pediatric Dentistry ,pc practices in Canandaigua, NY. The NPI Number for Canandaigua Pediatric Dentistry ,pc is 1427170844 and holds a License No. 035232 (New York).

The current practice location address for Canandaigua Pediatric Dentistry ,pc is 325 West St, Canandaigua, NY and can be reached out via phone at 585-394-4058 and via fax at 585-394-4058.

Location: 325 West St, Canandaigua, NY, 14424-1723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427170844
Provider Name
Canandaigua Pediatric Dentistry ,pc
Credential
Provider Entity Type
Organization
Address
325 West St, Canandaigua, NY, 14424-1723
Phone Number
585-394-4058
Fax Number
585-394-4058
Provider Enumeration Date
04/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TF2412932 01 NY NYS TAX ID#
institution
Provider Business Practice Location Address Details
Address
325 West St
City
Canandaigua
State
New York
Zip
14424-1723
Phone Number
585-394-4058
Fax Number
585-394-4058
person
Provider Business Mailing Address Details
Address
325 West St
City
Canandaigua
State
New York
Zip
14424-1723
Phone Number
585-394-4058
Fax Number
585-394-4058
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
035232 (New York)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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