| NPI | 1114699303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE ASHER LEVINE Owner 585-278-7199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2021-10-05 |