NPI | 1275924995 |
---|---|
Doing Business As | SMILE OCEAN DENTAL PRACTICE |
Entity Type | Organization |
Authorized Contact | PRATIMA S GOWDAR Dentist/President 585-483-3302 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2015-02-17 |
Last Update Date | 2015-02-17 |