| NPI | 1992856355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD ANTHONY FLIHAN President 315-624-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: NY 042830-1) |
| Enumeration Date | 2007-01-14 |
| Last Update Date | 2020-08-22 |