NPI | 1598965691 |
---|---|
Entity Type | Organization |
Authorized Contact | CHESTER JOSEPH GARY Corporate Shareholder 716-683-7443 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NY 33932) |
Additional Taxonomies | 122300000X Dentist (Licence: NY 41403) |
Enumeration Date | 2007-07-18 |
Last Update Date | 2007-07-18 |