| NPI | 1003290198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HADI DAIA Orthodontist 716-238-0015 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 2901021680) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |