| NPI | 1649356080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH RUTH NEW Owner 585-889-8810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NY 46437) |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2020-08-22 |