| NPI | 1023490257 |
|---|---|
| Former Legal Business Name | EASTMAN DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | VANESSA BUCKHOLZ Registrar 585-275-9801 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |