| NPI | 1669654844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK H. HSI Dentist 315-476-7479 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 042499-1) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2008-01-08 |