| NPI | 1700355849 |
|---|---|
| Doing Business As | INTEGRATIVE ORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | KERRY LYN KELLY Owner/Dentist 607-272-4331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |