| NPI | 1386197358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J LACARRUBBA Owner,CEO 716-390-8185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 055792) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 046843-1) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |