Rochester Dentistry, PLLC
Dentist, General Practice in Rochester, MI. Organization (NPI-2).
NPI number1962070367
StatusActive
Last updated in NPPESMar 20, 2023
Details
- NPI
- 1962070367
- Entity type
- Organization (NPI-2)
- Legal business name
- Rochester Dentistry, PLLC
- Organization subpart
- No
- Enumeration date
- Jun 14, 2021
- Certification date
- Mar 20, 2023
- Last updated
- Mar 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
203 Walnut BlvdRochester, MI 48307-2056
Phone 586-752-4560 · Fax 586-752-0895
Mailing address
203 Walnut BlvdRochester, MI 48307-2056
Authorized official
Shirley Nakash
Owner
5867524560
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