| NPI | 1053582908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH KELMAN Owner 518-438-8161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 026473-1) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-07-17 |