| NPI | 1881051498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT VELLA Owner 585-746-9972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 039655-1) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |