| NPI | 1083910525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JO TOBIN Partner/Member 585-586-2580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 046826) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 051194) |
| 122300000X Dentist (Licence: NY 33701) | |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2012-01-11 |