NPI | 1922196245 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD WESLEY MAINS President/Dentist 585-586-6670 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 29844) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2020-08-22 |