| NPI | 1922773365 |
|---|---|
| Doing Business As | FAMILY DENTAL AND IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | AUDREY KIM President 716-374-3273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2021-08-09 |