| NPI | 1881729630 |
|---|---|
| Former Legal Business Name | BUTTERNUT DENTAL CARE PC |
| Entity Type | Organization |
| Authorized Contact | SUSAN B DUNN Dentist 315-474-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 40578) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 045257) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2012-08-31 |