| NPI | 1023166873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA MCDOUGAL Pediatric Dentist 585-730-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 51878) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |