| NPI | 1568511418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JOHN DENTES Dentist, President 607-753-7107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 048634) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2010-01-31 |