| NPI | 1659721025 |
|---|---|
| Doing Business As | MEADOWGATE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JACK M DORKHOM Member/Owner 585-586-8895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 051194) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |