| NPI | 1225406796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN L. BROWN President 315-797-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 054924) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2021-11-24 |