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NPI Code Detail

MEDICARE: MARY CATHERINE HARRISON DDS PLLC

MEDICARE: MARY CATHERINE HARRISON DDS PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist040236NY

General Provider Information

NPI Number : 1447331426
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARY CATHERINE HARRISON DDS PLLC
Provider Business Mailing Address
First Line : 2480 BROWNCRAFT BOULEVARD
Second Line :
City : ROCHESTER
State : NY
Zip : 14625
Country : US
Telephone Number : 585-381-2600
Fax Number : 585-381-2760
Provider Business Practice Location Address
First Line : 2480 BROWNCRAFT BOULEVARD
Second Line :
City : ROCHESTER
State : NY
Zip : 14625
Country : US
Telephone Number : 585-381-2600
Fax Number : 585-381-2760
Authorized Official
Title or Position : OWNER DENTIST
Name : MARY CATHERINE HARRISON
Credential : DDS
Telephone Number : 585-381-2600
Provider Enumeration Date : 10/18/2006
Last Update Date : 04/29/2015

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