NPI | 1831262971 |
---|---|
Entity Type | Organization |
Authorized Contact | ROLAND M BERGLER Owner 716-636-1600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 028520) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2020-08-22 |