| NPI | 1578742292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SALKELD Owner 315-454-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009491A) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |