| 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 |