| NPI | 1669649166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY NORMAN ROSEN Member 585-586-5480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 032910) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |