| NPI | 1114262227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIUS SUDITU Owner/Provider 845-632-6613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 052177) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |