| NPI | 1245696467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L GIANGRECO Owner 585-671-4522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 043501) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-04 |