| NPI | 1619098076 |
|---|---|
| Doing Business As | QUEST DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID MATTIACIO Owner 315-445-2678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-06-24 |