| NPI | 1518398106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZOHAIR QURESHI Orthodontist 585-789-1659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NY 056408) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2013-12-06 |