| NPI | 1912386541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOUHAMMAD DAHMAN Owner 716-440-3719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401411573) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-06-10 |