| NPI | 1982385100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAY MARKOVITCH Partner 585-632-4819 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist Periodontics |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| 1223P0700X Dentist Prosthodontics | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| 261QD0000X Clinic/Center Dental | |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-07-31 |