| NPI | 1518204254 |
|---|---|
| Doing Business As | ORTHODONTIC GROUP OF THE FINGER LAKES |
| Entity Type | Organization |
| Authorized Contact | ROBERT BAKER President 607-272-9321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NY 0414901) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |