| NPI | 1982465142 |
|---|---|
| Former Legal Business Name | DENTALOGIX ON SENECA |
| Entity Type | Organization |
| Authorized Contact | JIN MAI-SOTO Member 716-823-2898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-16 |