| NPI | 1770228074 |
|---|---|
| Doing Business As | STATE STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | SUNIT JAIN Owner 716-939-4818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2022-05-02 |