| NPI | 1063587335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND M. BERGLER Owner 716-691-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 028520) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |