| NPI | 1407056385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL AUSTIN KUBINIEC Owner/ Dentist 585-343-5865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: NY 041012) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |