| NPI | 1801287370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL AUGELLO Practice Manager 716-839-1546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NY 055506) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |