| NPI | 1053130567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARIN GRINBAUM Owner/Orthodontist 845-400-2479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2024-10-10 |