| NPI | 1215232244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY SKERRETT D.D.S. 716-901-1440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.028303) |
| Enumeration Date | 2011-01-23 |
| Last Update Date | 2011-01-23 |