| NPI | 1215245964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA K SLACK President 585-426-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 035772) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-09-15 |