| NPI | 1679231591 |
|---|---|
| Other Name | ROCHESTER MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TODD RICHARD PEDERSEN Member 585-469-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2021-12-08 |