NPI | 1235677840 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS PATRICK MCCUE General Dentist 315-779-2222 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 053972) |
Enumeration Date | 2017-02-02 |
Last Update Date | 2017-02-02 |