| NPI | 1841614328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ZACARRUBBA Owner 716-646-9423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 046843-1) |
| 122300000X Dentist (Licence: NY 35091) | |
| 122300000X Dentist (Licence: NY 35041) | |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2015-08-07 |