| NPI | 1649389560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEANN MCANULTY Chief Operating Officer 716-688-7712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2012-01-13 |