| NPI | 1669500112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEADA DAMIANO President 315-699-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 040268) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2013-01-22 |