| NPI | 1891825600 | 
|---|---|
| Doing Business As | COLUMBIA DENTAL GROUP | 
| Entity Type | Organization | 
| Authorized Contact | ROGER ANTONIO CONTI Partner 607-770-1122  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 041409)  | 
| Enumeration Date | 2007-03-07 | 
| Last Update Date | 2021-04-30 |