Michael Delucia, DDS, CNMT, ARRT( N)
Dentist, General Practice in Rochester, NY. Individual provider (NPI-1).
NPI number1669935920
StatusActive
Last updated in NPPESFeb 17, 2022
Details
- NPI
- 1669935920
- Entity type
- Individual (NPI-1)
- Name
- Michael Delucia
- Credential
- DDS, CNMT, ARRT( N)
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2019
- Certification date
- Feb 17, 2022
- Last updated
- Feb 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 061093 | NY | Yes |
Practice location
2384 Ridgeway AveRochester, NY 14626-4112
Phone 585-723-8230
Mailing address
2384 Ridgeway AveRochester, NY 14626-4112
Phone 585-723-8230
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