| NPI | 1689754525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SCOTT WESTERMEIER Member 716-652-7645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 040170) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 0401631) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |