| NPI | 1396965604 |
|---|---|
| Other Name | DENTAL SCHOOL BASED |
| Entity Type | Organization |
| Authorized Contact | JANICE M YURICEK Administrative Accounting Superviso 607-687-8573 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: NY 00356294) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2013-03-15 |