| NPI | 1124149745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BURKE MCGRATH President 315-478-5719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 027642) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2012-02-14 |