| NPI | 1124292339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND L EGGERT Dentist 518-456-8252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 039034) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |