| 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 |