| V, Brain Gagliardi, Dmd | |
|
317 S Main St Canandaigua NY 14424-2118 | |
| (585) 394-5910 | |
| Not Available |
| Full Name | V, Brain Gagliardi, Dmd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 317 S Main St, Canandaigua, New York |
| Authorized Official Name and Position | Jo Anna S Gagliardi (ADMINISTRATOR) |
| Authorized Official Contact | 5853945910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| V, Brain Gagliardi, Dmd 317 S Main St Canandaigua NY 14424-2118 Ph: (585) 394-5910 | V, Brain Gagliardi, Dmd 317 S Main St Canandaigua NY 14424-2118 Ph: (585) 394-5910 |
| NPI Number | 1114064938 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114064938 | NPI | - | NPPES |
| 045901 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 045901 (New York) | Primary |
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