| NPI | 1871772053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERT HAROLD SCHULENBERG Owner 716-882-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |