NPI | 1952656670 |
---|---|
Entity Type | Organization |
Authorized Contact | RYAN COMFORT Dentist/Partner 607-797-5932 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 042794) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 055046) |
Enumeration Date | 2012-07-18 |
Last Update Date | 2012-07-18 |