| NPI | 1992830327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE R ROSE Office Manager 716-833-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 046333) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 038993) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |