| NPI | 1174727424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID ALTMAN President 716-832-0587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NY 26804) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |