National Provider Identifier
Alfonso Andres Lara-Brain
Alfonso Andres Lara-Brain is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rochester, NY and a listed phone number of (585) 275-8315.
Profile Overview
- NPI
- 1639607799
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- June 01, 2017
- Last Updated
- July 21, 2022
Practice Location
- 625 Elmwood Ave # 683
- Rochester, NY 14620-2913
Phone: (585) 275-8315
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1639607799
- Entity Type
- Individual
- Last Name
- Lara-Brain
- First Name
- Alfonso
- Middle Name
- Andres
- Mailing Street Address
- 625 Elmwood Ave # 683
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-2913
- Mailing Country
- US
- Mailing Phone
- (585) 275-8315
- Practice Street Address
- 625 Elmwood Ave # 683
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2913
- Practice Country
- US
- Practice Phone
- (585) 275-8315
- Enumeration Date
- June 01, 2017
- Last Updated
- July 21, 2022
- Sex
- Male
- Sole Proprietor
- No
- Taxonomies
- General Practice Dentistry (1223G0001X)