| NPI | 1487762928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA MARIE ORLANDO MARTIN Dds 716-854-7811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 042020-1) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |