NPI | 1023445061 |
---|---|
Doing Business As | TACONIC DENTAL |
Entity Type | Organization |
Authorized Contact | ERIN MICHELLE PRUNTY Owner 845-243-2300 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NY 054407) |
Enumeration Date | 2013-10-06 |
Last Update Date | 2014-07-23 |