| NPI | 1083294920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LON HINCKLEY Oral And Maxillofacial Surgeon 607-427-6362 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2021-04-14 |