| NPI | 1881956019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD C CARSTEN President Owner 315-475-1533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 30813) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |