| NPI | 1508053711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH LAMPASSO Partner 716-689-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 053373-1) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 045093-1) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2007-10-02 |