| NPI | 1811536881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN CUTLER VP Of Integration And Administratio 607-743-9474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2022-05-12 |