| NPI | 1073711750 |
|---|---|
| Other Name | CORP |
| Entity Type | Organization |
| Authorized Contact | GARNETT A WESTON President 914-834-0305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 050070) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-08-22 |