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 |