| NPI | 1598166290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN KUEHLEWIND Business Manager 716-627-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 031610) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |