| Cynthia K Slack Dds Pc | |
|
523 Beahan Rd Westgate Wood Professional Complex Rochester NY 14624-3403 | |
| (585) 426-2550 | |
| (585) 426-4118 |
| Full Name | Cynthia K Slack Dds Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 523 Beahan Rd, Rochester, New York |
| Authorized Official Name and Position | Cynthia K Slack (PRESIDENT) |
| Authorized Official Contact | 5854262550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cynthia K Slack Dds Pc 523 Beahan Rd Westgate Wood Professional Complex Rochester NY 14624-3403 Ph: (585) 426-2550 | Cynthia K Slack Dds Pc 523 Beahan Rd Westgate Wood Professional Complex Rochester NY 14624-3403 Ph: (585) 426-2550 |
| NPI Number | 1215245964 |
|---|---|
| Provider Enumeration Date | 09/15/2010 |
| Last Update Date | 09/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215245964 | NPI | - | NPPES |
| 1144266222 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 035772 (New York) | Primary |
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