| NPI | 1942479308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN G CLAUSER Dentist 716-568-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 052390-1) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 053497) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |