| NPI | 1447786579 |
|---|---|
| Doing Business As | SUBURBAN ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JASON JONES Owner 716-649-5254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 0548261) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 0487311) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 044104) | |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2017-05-10 |