| NPI | 1568451524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY W. BIGSBY Doctor 607-754-3903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 30430) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2020-08-22 |