| NPI | 1881898427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY OWENS Financial Office Manager 585-586-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 044940) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2007-08-22 |