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325 S Main St Canandaigua NY 14424-2118 | |
| (585) 919-0267 | |
| (585) 396-0999 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 325 S Main St, Canandaigua, New York |
| Authorized Official Name and Position | Aharon Ernan (OWNER) |
| Authorized Official Contact | 5859190267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
325 S Main St Canandaigua NY 14424-2118 Ph: (585) 919-0267 | 325 S Main St Canandaigua NY 14424-2118 Ph: (585) 919-0267 |
| NPI Number | 1720415565 |
|---|---|
| Provider Enumeration Date | 10/10/2013 |
| Last Update Date | 10/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720415565 | NPI | - | NPPES |
| 1396761375 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 053739 (New York) | Primary |
Gullo Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 N Main St, Canandaigua, NY 14424 Phone: 585-394-4664 Fax: 585-394-0492 | |
Lux Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Brook St, Canandaigua, NY 14424 Phone: 585-394-8071 Fax: 585-394-8529 | |
Finger Lakes Dental Care, Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 329 South Main Street, Canandaigua, NY 14424 Phone: 585-394-1930 Fax: 585-394-1938 | |
Benedict F. Gullo, D.d.s.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 N Main St, Canandaigua, NY 14424 Phone: 585-394-4664 Fax: 585-394-0492 | |