| NPI | 1649286303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRWIN L BURSTEIN President 716-873-7030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NY 22706) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |