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
Phone: (585) 473-1550
Fax: (585) 473-1552
Website:
Health care specialties
| Specialty | Code | License # | 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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