| NPI | 1972026904 |
|---|---|
| Doing Business As | EAST TOWN DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHAD FROEBEL Member 716-902-6402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2022-07-21 |