| NPI | 1194957555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES FRANCIS GLEASON President 585-216-1025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 0542791) |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2009-08-19 |