| NPI | 1710980198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R. DEVITO Dentist 315-592-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 041151) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2020-08-22 |