| NPI | 1205056512 |
|---|---|
| Other Name | DENTAL NON SCHOOL BASED |
| Entity Type | Organization |
| Authorized Contact | BARBARA L SCHRIER Administrative Accounting Superviso 607-687-8573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: NY 5324200R) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2020-08-22 |