| NPI | 1659032639 |
|---|---|
| Doing Business As | DR. BOB'S DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | DEBORAH DAMICO Credentialing Liaison 716-646-9423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2022-01-03 |