| NPI | 1497905509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETRE A ROUFF Member/Orthodontist 716-693-9077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY ny052405) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2008-09-25 |