| NPI | 1922358761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA R BELL Director 607-432-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 028137) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |