| NPI | 1174065395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT P CAVALLARI President 716-433-3883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 39590) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |