| NPI | 1689710204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES H ELY President 716-633-1187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 028311) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |