| NPI | 1811160567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ARTHUR AHLGRIM President 315-782-2241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 39123) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |