| NPI | 1154464436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL J. LEGUNN General Partner 845-634-7696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NY 36233) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 33099) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |