| NPI | 1831403153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMONAS ZMUIDZINAS President 585-200-3797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CT 10777) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2016-03-21 |