| Park Dental Associates, Pllc | |
|
880 Westfall Rd Suite C Rochester NY 14618-2611 | |
| (716) 909-1470 | |
| Not Available |
| Full Name | Park Dental Associates, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 880 Westfall Rd, Rochester, New York |
| Authorized Official Name and Position | Kathleen Elizabeth Poleon (DENTIST) |
| Authorized Official Contact | 7169091470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Dental Associates, Pllc 90 Groton Dr Apt 4 Amherst NY 14228-2547 Ph: (716) 909-1470 | Park Dental Associates, Pllc 880 Westfall Rd Suite C Rochester NY 14618-2611 Ph: (716) 909-1470 |
| NPI Number | 1215055314 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215055314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 050613-1 (New York) | Primary |
| 1223G0001X | Dentist - General Practice | 053052-1 (New York) | Secondary |
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