Aaron J Park, DDS PLLC
Dentist in Rochester, NY. Organization (NPI-2).
NPI number1336967868
StatusActive
Last updated in NPPESOct 2, 2024
Details
- NPI
- 1336967868
- Entity type
- Organization (NPI-2)
- Legal business name
- Aaron J Park, DDS PLLC
- Organization subpart
- No
- Enumeration date
- Oct 2, 2024
- Last updated
- Oct 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Other names
- Irondequoit Family Dentistry (Doing Business As)
Practice location
753 Titus AveRochester, NY 14617
Phone 585-266-4860 · Fax 585-266-5477
Mailing address
753 Titus AveRochester, NY 14617
Phone 585-266-4860 · Fax 585-266-5477
Authorized official
Aaron Jon Park
Owner/Dentist
5852664860
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