| White Spruce Smiles, Pllc | |
|
370 White Spruce Blvd Rochester NY 14623-1604 | |
| (585) 424-5005 | |
| Not Available |
| Full Name | White Spruce Smiles, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 370 White Spruce Blvd, Rochester, New York |
| Authorized Official Name and Position | Jason Tanoory (OWNER) |
| Authorized Official Contact | 5859196624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Spruce Smiles, Pllc 329 S Main St Canandaigua NY 14424-2118 Ph: (859) 196-6245 | White Spruce Smiles, Pllc 370 White Spruce Blvd Rochester NY 14623-1604 Ph: (585) 424-5005 |
| NPI Number | 1386388346 |
|---|---|
| Provider Enumeration Date | 04/26/2022 |
| Last Update Date | 04/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386388346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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