| NPI | 1134496565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM ABDEH Dentist/President 845-782-1908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 052807) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |