| Gentle Dental Care Of Rochester Pc | |
|
295 Monroe Ave Rochester NY 14607-3660 | |
| (585) 467-4513 | |
| (585) 467-4665 |
| Full Name | Gentle Dental Care Of Rochester Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 295 Monroe Ave, Rochester, New York |
| Authorized Official Name and Position | Manuel Alejandro Botana (OWNER) |
| Authorized Official Contact | 5854674513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentle Dental Care Of Rochester Pc 295 Monroe Ave Rochester NY 14607-3660 Ph: (585) 467-4513 | Gentle Dental Care Of Rochester Pc 295 Monroe Ave Rochester NY 14607-3660 Ph: (585) 467-4513 |
| NPI Number | 1134335466 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 07/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134335466 | NPI | - | NPPES |
| 02289081 | Medicaid | NY | |
| 02646986 | Medicaid | NY | |
| 02667485 | Medicaid | NY | |
| 01431401 | Medicaid | NY | |
| 02808359 | Medicaid | NY | |
| 02901348 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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