| NPI | 1114078268 |
|---|---|
| Other Name | DENTAL VAN |
| Entity Type | Organization |
| Authorized Contact | DENIS G MCCANN Director Of Administrative Services 607-687-8604 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: NY 53234200R) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2013-11-20 |