| Erie Canal Dental Pllc | |
|
91 Erie Canal Dr Ste A Rochester NY 14626-4603 | |
| (585) 754-2250 | |
| Not Available |
| Full Name | Erie Canal Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 91 Erie Canal Dr Ste A, Rochester, New York |
| Authorized Official Name and Position | Eric Benson (SOLE MEMBER) |
| Authorized Official Contact | 4156940819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erie Canal Dental Pllc 6 Skidmore Dr Spencerport NY 14559-9535 Ph: (415) 694-0819 | Erie Canal Dental Pllc 91 Erie Canal Dr Ste A Rochester NY 14626-4603 Ph: (585) 754-2250 |
| NPI Number | 1760091763 |
|---|---|
| Provider Enumeration Date | 07/26/2020 |
| Last Update Date | 07/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760091763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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