| NPI | 1871751156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY GAETANO PETRILLI President 716-823-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 049131) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |