| NPI | 1922142579 |
|---|---|
| Doing Business As | NORTH COAST DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | HOWARD WEINER Partner 585-266-9220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 032941) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 038725) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 030573) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 031781) | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |