| NPI | 1427461946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ROBERT PRINDLE Owner 315-789-8975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 055678) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |