| NPI | 1386198653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RICHARDSON Owner 315-592-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 058730) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |