| Frederick Clasquin Dmd P.c. | |
|
56 Market St Brockport NY 14420-1934 | |
| (585) 637-4430 | |
| (585) 637-4603 |
| Full Name | Frederick Clasquin Dmd P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 56 Market St, Brockport, New York |
| Authorized Official Name and Position | Frederick Henry Clasquin (OWNER DENTIST) |
| Authorized Official Contact | 5856374430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick Clasquin Dmd P.c. 56 Market St Brockport NY 14420-1934 Ph: (585) 637-4430 | Frederick Clasquin Dmd P.c. 56 Market St Brockport NY 14420-1934 Ph: (585) 637-4430 |
| NPI Number | 1326785106 |
|---|---|
| Provider Enumeration Date | 05/13/2022 |
| Last Update Date | 05/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326785106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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