| NPI | 1043550098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE GUARDINO Owner 716-688-0091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 0400251) |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2013-02-27 |