| NPI | 1699255307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS R SANSONE Sole Member 585-729-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 046331) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |