NPI | 1396881389 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE H SEIDBERG President 315-453-3636 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NY 024191) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2020-08-22 |