Full Name | |
---|---|
Speciality | Dentist |
Location | 20 Lake St., Leroy, New York |
Authorized Official Name and Position | Anil K. Sawhrey (PARTNER) |
Authorized Official Contact | 5857686060 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
20 Lake Street Leroy NY 14482 Ph: (585) 768-6060 | 20 Lake St. Leroy NY 14482 Ph: (585) 768-6060 |
NPI Number | 1710318571 |
---|---|
Provider Enumeration Date | 12/04/2013 |
Last Update Date | 12/04/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710318571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 38022 (New York) | Primary |