| NPI | 1922278480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LEONARD DESANTIS Owner 607-729-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 048526-1) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 230001) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-11 |