NPI | 1104999283 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT A. GIANADDA Owner 716-854-5543 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 028528) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2020-08-22 |