| NPI | 1619153145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE L MORGAN Office Administrator 315-797-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 39202) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |