| NPI | 1861551798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHEL HARRIS Assistant Dean 716-829-2336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 1401226R) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2018-01-11 |