| NPI | 1497946412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIMAL VLADIMIR FRIAS Partner 585-343-1958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NY 050656) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 050175) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |