NPI | 1821871732 |
---|---|
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 | 2023-08-15 |
Last Update Date | 2023-08-15 |