| NPI | 1770975880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA CRYAN Pediatric Dentist 716-580-3580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 052008) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |