| NPI | 1851599781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH VINCENT QUEVEDO Owner 585-256-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NY 047178-1) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-22 |