| NPI | 1598987810 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JOEL M LEVIN President 716-885-0510  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 026237)  | 
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 029731)  | 
| Enumeration Date | 2007-05-03 | 
| Last Update Date | 2016-08-24 |