| NPI | 1962533547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY E WINTERS Manager 315-422-1305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 052304) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2012-12-22 |