| NPI | 1962727990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY RICHTER Orthodontist 716-631-9924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: 053875-1) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2010-04-01 |