| NPI | 1780850750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL SUSSMAN Vice President 585-227-4390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 34610) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2023-09-25 |