| NPI | 1457588725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WEINMAN President 716-883-9447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 36407) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2009-06-15 |