| NPI | 1184918302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYMME S BELEN President 315-724-3767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 0492581) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |