| NPI | 1912435298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN G BERTANI Administration 716-893-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 040337) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2022-07-21 |