| Lac De Ville Dental Practice, Pllc | |
|
2101 Lac De Ville Blvd Rochester NY 14618-5659 | |
| (585) 271-6300 | |
| (585) 271-6303 |
| Full Name | Lac De Ville Dental Practice, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2101 Lac De Ville Blvd, Rochester, New York |
| Authorized Official Name and Position | Amy Ames (OWNER) |
| Authorized Official Contact | 8586039917 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lac De Ville Dental Practice, Pllc 2101 Lac De Ville Blvd Rochester NY 14618-5659 Ph: (585) 271-6300 | Lac De Ville Dental Practice, Pllc 2101 Lac De Ville Blvd Rochester NY 14618-5659 Ph: (585) 271-6300 |
| NPI Number | 1790345791 |
|---|---|
| Provider Enumeration Date | 06/20/2019 |
| Last Update Date | 06/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790345791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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