| NPI | 1386720605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEE ANDERSON Owner 585-227-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 210878DA) |
| Enumeration Date | 2006-10-29 |
| Last Update Date | 2008-06-02 |