| NPI | 1811303076 |
|---|---|
| Doing Business As | SOUTH MAIN DENTAL |
| Entity Type | Organization |
| Authorized Contact | DHARAM TAYAL Dentist 716-239-5889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 010878) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2015-12-14 |