| NPI | 1225458649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAESTA NAJEEM Owner/Provider 585-787-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 045642) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2015-01-28 |