NPI | 1386002384 |
---|---|
Entity Type | Organization |
Authorized Contact | VINCENT VELLA Owner 585-482-8980 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 039655-1) |
Enumeration Date | 2016-02-04 |
Last Update Date | 2016-02-04 |