NPI | 1215364583 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL J LIVINGSTON President 585-334-8350 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 037100) |
Enumeration Date | 2013-10-02 |
Last Update Date | 2013-10-02 |