| NPI | 1225280613 |
|---|---|
| Doing Business As | LASTING IMPRESSIONS |
| Entity Type | Organization |
| Authorized Contact | MARK J POLSINELLO President 518-438-1131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NY 045465) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NY 030044) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2013-06-05 |