| NPI | 1235880048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK G HAGEMAN President 518-456-7673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2022-01-13 |