| NPI | 1902127335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN H CAMPBELL President 716-829-6032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2020-10-15 |