| NPI | 1861530636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TITUS ANTHONY HOWELL President 583-278-1890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 0453601) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |