| NPI | 1891889242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH A PETRONIO Owner 716-652-0190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 048747-1) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |