NPI | 1396232245 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN CURTIS WOOD Dentist/Owner 716-882-0800 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 038220) |
Enumeration Date | 2018-04-17 |
Last Update Date | 2018-04-17 |