| NPI | 1215265517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICENT J DINGMAN Chief Financial Officer 518-828-8249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 1001000H) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-11-24 |