Raetz, Randy Gordon

Raetz, Randy Gordon is an sole proprietor health care provider with primary practice located at 2273 S Clinton Ave , Rochester NY 14618-2662. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Raetz, Randy Gordon can be contacted via phone (585) 473-1550.

Contact Information

Primary practice address
2273 S Clinton Ave Rochester NY 14618-2662
Fax: (585) 473-1552

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 045887 New York

Profile Details

NPI number 1811990807
LBN Legal business name Raetz, Randy Gordon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated Sep 2nd, 2011 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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