| NPI | 1972781375 |
|---|---|
| Doing Business As | CHENANGO DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL PATRICK WILSON President 917-880-1617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 052924) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |