| NPI | 1861859811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIA KRESEVIC Pediatric Dentist 585-752-2996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 25141) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |