| NPI | 1023209574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S MCCORMICK Owner 716-652-1140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 047306) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-10-18 |