| NPI | 1306225511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYSON STEWART DKEIDEK Pediatric Dentist 716-725-4676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA 60124299) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |