| NPI | 1912164013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PALLAVI NARENDRANATH Owner 585-924-7994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 050826-1) |
| Enumeration Date | 2008-05-18 |
| Last Update Date | 2008-05-18 |