| NPI | 1649680281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MARKO Insurance Operations VP 315-454-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OR 9826) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |