NPI | 1285885897 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES THEODORE STRYCHALSKI Oral Surgeon 716-366-8330 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 024679) |
Additional Taxonomies | 122300000X Dentist (Licence: NY 031690-1) |
Enumeration Date | 2008-10-02 |
Last Update Date | 2008-10-02 |