| NPI | 1699599480 |
|---|---|
| Doing Business As | STATE STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | SUNIT JAIN Owner/ Partner 716-939-4818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-11-08 |
| Last Update Date | 2024-11-08 |