| NPI | 1366755779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA A VITAGLIANO President 585-223-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 045340) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 053613) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-15 |