| NPI | 1538566963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ELIZABETH MILLS Dentist/Owner 716-366-6822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NY 052261-1) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NY 56288) |
| 1223G0001X Dentist General Practice (Licence: NY 055675) | |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |