NPI | 1427413194 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL SEAN MCCORMICK Owner/Dentist 716-652-1140 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 047306) |
Enumeration Date | 2015-12-23 |
Last Update Date | 2015-12-23 |