| NPI | 1285813832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAM HAMATI Owner 315-454-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901019539) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |