| NPI | 1386388346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON TANOORY Owner 585-919-6624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2022-04-26 |