| NPI | 1558492975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW J. FIORENTINO Dentist 315-463-5627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 22038) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2015-04-17 |