| NPI | 1356600233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY KINNEY Office Manager 607-272-8118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 044135) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: NY 044297) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-05-11 |