| NPI | 1285171926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN W MEITNER Partner 585-248-8195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NY 031468) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: NY 056700) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |