NPI | 1336428408 |
---|---|
Former Legal Business Name | THOMAS P MCCUE IV DDS PC |
Entity Type | Organization |
Authorized Contact | CAMILLA JEAN LYNDAKER Business Manager 315-779-2222 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NY 053972) |
Enumeration Date | 2011-08-08 |
Last Update Date | 2011-08-08 |