| NPI | 1053777243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY D MENOFF Dentist/Owner 716-665-1468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 039023) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |