Brockport Dental Pllc

NPI #1114658614 in Brockport, New York

Provider Information

NPI Number
1114658614
Entity Type
Organization
Organization Name
Brockport Dental Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 23, 2022
Last Updated
Jun 23, 2022

Practice Location

Address
1000 TRANSIT WAY # 200
ZIP Code
14420-3008
Phone
(585) 957-0981

Authorized Official

Name
DR. ALEXIS GHANEM AYOUBI, DDS
Title
PRESIDENT
Phone
(585) 503-0713

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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