| NPI | 1013116011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALEB A. GEORGE Partner 518-383-5457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 34479) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-12 |