| NPI | 1487754305 |
|---|---|
| Doing Business As | PERIODONTAL CENTERS OF ROCHESTER |
| Entity Type | Organization |
| Authorized Contact | TIM M BLIEDEN Owner 585-225-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NY 041560) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: NY 029924) |
| 1223P0300X Dentist, Periodontics (Licence: NY 035316) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2013-10-07 |