Provider First Line Business Practice Location Address:
620 WESTFALL RD
Provider Second Line Business Practice Location Address:
FINGER LAKE DDSO
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14620
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-461-8588
Provider Business Practice Location Address Fax Number:
585-461-8580
Provider Enumeration Date:
01/09/2007