| NPI | 1366583288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA R MANUNTS Owner 607-257-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NY 050046-1) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-05-12 |