| NPI | 1437183647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D CALLAHAN Partner 315-637-2674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 036509-1) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |