A Smile To Grow, Dentistry For Kids, PLLC
Dentist, Pediatric Dentistry in Rochester, NY. Organization (NPI-2).
NPI number1013673235
StatusActive
Last updated in NPPESNov 11, 2021
Details
- NPI
- 1013673235
- Entity type
- Organization (NPI-2)
- Legal business name
- A Smile To Grow, Dentistry For Kids, PLLC
- Organization subpart
- No
- Enumeration date
- Nov 11, 2021
- Certification date
- Nov 11, 2021
- Last updated
- Nov 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | Yes |
Practice location
370 White Spruce BlvdRochester, NY 14623-1604
Phone 585-919-6624
Mailing address
329 S Main StCanandaigua, NY 14424-2118
Phone 585-919-6624
Authorized official
Jennifer Morello
Business Manager
5859196624
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