| NPI | 1194928630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET R ALLWOOD Orthodontist 518-383-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 047478) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2020-08-22 |