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 |