NPI | 1912537739 |
---|---|
Doing Business As | ADVANCED DENTISTRY OF YARMOUTH |
Entity Type | Organization |
Authorized Contact | JONATHAN BERNSTEIN Doctor 716-908-1084 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-01-21 |
Last Update Date | 2020-01-21 |