| NPI | 1215617121 |
|---|---|
| Doing Business As | CATON J. STATE DDS |
| Entity Type | Organization |
| Authorized Contact | JADGEV HEIR CEO/President 518-441-5483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-07-25 |