| NPI | 1679943120 |
|---|---|
| Doing Business As | COLUMBIA DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JOANNA HICKOK Billing Manager 315-771-9532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 057028) |
| Enumeration Date | 2015-09-27 |
| Last Update Date | 2015-09-27 |