| Rocperio&implants | |
|
2109 S Clinton Ave Ste 200 Rochester NY 14618-2615 | |
| (585) 756-5566 | |
| (585) 756-5567 |
| Full Name | Rocperio&implants |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2109 S Clinton Ave Ste 200, Rochester, New York |
| Authorized Official Name and Position | Diane Lucie Skwirz (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 5857565566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocperio&implants 2109 S Clinton Ave Ste 200 Rochester NY 14618-2615 Ph: (585) 756-5566 | Rocperio&implants 2109 S Clinton Ave Ste 200 Rochester NY 14618-2615 Ph: (585) 756-5566 |
| NPI Number | 1740814813 |
|---|---|
| Provider Enumeration Date | 02/27/2020 |
| Last Update Date | 02/27/2020 |
| Certification Date | 02/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740814813 | NPI | - | NPPES |
| BL1101562 | Other | NY | LICENSE NUMBER 040948-1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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