| NPI | 1700943206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZINA A. BERRY President 315-476-3552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NY 0476891) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |