| NPI | 1124316294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALAN KLEIN Dentist 845-735-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 043986) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2011-07-11 |