| Cianciola & Beach Periodontal Group | |
|
2005 Lyell Ave Suite 120 Rochester NY 14606-2323 | |
| (585) 458-5456 | |
| (585) 458-9782 |
| Full Name | Cianciola & Beach Periodontal Group |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2005 Lyell Ave, Rochester, New York |
| Authorized Official Name and Position | Louis J. Cianciola (SENIOR PARTNER) |
| Authorized Official Contact | 5854585456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cianciola & Beach Periodontal Group 2005 Lyell Ave Suite 120 Rochester NY 14606-2323 Ph: (585) 458-5456 | Cianciola & Beach Periodontal Group 2005 Lyell Ave Suite 120 Rochester NY 14606-2323 Ph: (585) 458-5456 |
| NPI Number | 1437174232 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437174232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 030525-2 (New York) | Primary |
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