| NPI | 1114186749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN T. BRAUNSTEIN Owner 716-885-1905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 032062) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |