| Canalside Dentistry Pllc | |
|
69a Monroe Ave Pittsford NY 14534-1321 | |
| (585) 586-2580 | |
| (585) 586-4924 |
| Full Name | Canalside Dentistry Pllc |
|---|---|
| Speciality | Dentist |
| Location | 69a Monroe Ave, Pittsford, New York |
| Authorized Official Name and Position | Mary Jo Tobin (PARTNER/MEMBER) |
| Authorized Official Contact | 5855862580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canalside Dentistry Pllc 69a Monroe Ave Pittsford NY 14534-1321 Ph: (585) 586-2580 | Canalside Dentistry Pllc 69a Monroe Ave Pittsford NY 14534-1321 Ph: (585) 586-2580 |
| NPI Number | 1083910525 |
|---|---|
| Provider Enumeration Date | 02/01/2011 |
| Last Update Date | 01/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083910525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 046826 (New York) | Primary |
| 122300000X | Dentist | 051194 (New York) | Secondary |
| 122300000X | Dentist | 33701 (New York) | Secondary |
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