| NPI | 1841616661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAIMA YUSAF President 607-425-8450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019.027844) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2014-03-18 |