| NPI | 1215080205 |
|---|---|
| Doing Business As | CENTER FOR COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PAUL I SUSSMAN VP 585-227-4390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 35176) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 34610) |
| Enumeration Date | 2007-01-21 |
| Last Update Date | 2023-09-25 |