NPI | 1366566523 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER WALTER MAY Owner Dentist 607-739-2551 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 0440811) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2020-08-22 |