| NPI | 1346306560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L GIANGRECO President 585-671-4522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 043501) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2019-09-23 |