| NPI | 1609220474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN DAVID SILSBY President & CEO 716-870-1802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 057388) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |