DR. Carl Louis Divita, D.D.S.
NPI #1710912274 in Spencerport, New York
Provider Information
- NPI Number
- 1710912274
- Entity Type
- Individual
- Name
- DR. Carl Louis Divita, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- D.D.S.
- Enumeration Date
- Jul 12, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2800 SPENCERPORT ROAD
- Address 2
- A4
- City
- Spencerport
- State
- New York
- ZIP Code
- 14559-2180
- Phone
- (585) 352-3627
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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