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Vincent Santucci, DDS

Student in an Organized Health Care Education/Training Program in Rochester, NY. Individual provider (NPI-1).

NPI number1760935530
StatusActive
Last updated in NPPESJul 28, 2016

Details

NPI
1760935530
Entity type
Individual (NPI-1)
Name
Vincent Santucci
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Jul 28, 2016
Last updated
Jul 28, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

625 Elmwood Ave
Box 683
Rochester, NY 14620-2913

Phone 585-275-8315

Mailing address

625 Elmwood Ave
Box 683
Rochester, NY 14620-2913

Phone 585-275-8315

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