| NPI | 1477757821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A. LAROSA President 716-668-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 040242) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2020-08-22 |