White Spruce Dental,pllc

NPI 1063602019 - Dentist - 122300000X

NPI Details
NPI 1063602019
Enumeration Date 07/26/2007
Last Updated 07/26/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KENNETH D. KENNETH
Position PARTNER
Phone (585) 424-5120
Fax (585) 424-1743
Practice Location
935 E HENRIETTA RD
ROCHESTER NY, 14623-1409, US
Phone (585) 424-5120
Fax (585) 424-1743
Business Location
935 E HENRIETTA RD
ROCHESTER NY, 14623-1409, US
Phone (585) 424-5120
Fax (585) 424-1743
Toxanomy
Taxonomy Code 122300000X
License State New York
License Number 038751
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According to our database, White Spruce Dental,pllc NPI is 1063602019, taxonomy code is 122300000X and license number is 038751, license state is located at New York. White Spruce Dental,pllc physically located at 935 E Henrietta Rd, Rochester NY, 14623-1409. NPI Number 1033115704 has the healthcare provider type.

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1063602019 NPI number is provided on an as is basis without warranty of any kind. 1063602019 is maintained by the National Plan & Provider Enumeration System. The contents of White Spruce Dental,pllc are for informational purposes only.