| NPI | 1366026338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN CUTLER VP Of Integration And Administratio 607-743-9474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2022-05-12 |