| NPI | 1851805964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A PACIOREK President 607-272-3921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2018-03-17 |