ALFONSO ANDRES LARA-BRAIN

ROCHESTER, NY
NPI1639607799
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  0597889-1)
Enumeration Date2017-06-01
Last Update Date2022-07-21
Business Address
ALFONSO ANDRES LARA-BRAIN
625 ELMWOOD AVE # 683
ROCHESTER, NY 14620-2913
Phone number: 585-275-8315
Mailing Address
ALFONSO ANDRES LARA-BRAIN
625 ELMWOOD AVE # 683
ROCHESTER, NY 14620-2913
Phone number: 585-275-8315
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