| NPI | 1790439529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN CUTLER Secretary 607-743-9474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223E0200X Dentist Endodontics | |
| 1223P0300X Dentist Periodontics | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2022-02-10 |