| NPI | 1063528164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT S CAMPANINO Owner 315-451-1070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 043313-1) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 050226-1) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |