| NPI | 1447425707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES S. TRAVAGLIATO Partner 716-646-9423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 035091) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |