| NPI | 1538344197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MARIO COSTANTINI Dentist/Owner 716-822-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 026346) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-02 |