| NPI | 1063946952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ROSE ALBEE Owner/Operator 585-225-8010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 049076) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 043311) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2020-08-04 |