| NPI | 1437583309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA FALSAFI Owner 716-631-2166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 044065) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |