| Ultimate Smile Dental, Pc | |
|
7181 State Route 96 Victor NY 14564-8989 | |
| (585) 924-4050 | |
| Not Available |
| Full Name | Ultimate Smile Dental, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7181 State Route 96, Victor, New York |
| Authorized Official Name and Position | Ricardo Huerta-andrade (DENTIST) |
| Authorized Official Contact | 5858201250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultimate Smile Dental, Pc 3349 Monroe Ave Ste 334 Rochester NY 14618-5513 Ph: (585) 820-1250 | Ultimate Smile Dental, Pc 7181 State Route 96 Victor NY 14564-8989 Ph: (585) 924-4050 |
| NPI Number | 1396221909 |
|---|---|
| Provider Enumeration Date | 07/17/2018 |
| Last Update Date | 11/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396221909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 052271 (New York) | Primary |
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