| NPI | 1245669217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY JAMES SIEPIERSKI COO 716-250-8751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NY 037529-1) |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2013-11-11 |