| NPI | 1245330372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SCOTT WALDMAN President Owner 845-342-1533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 046217) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2008-07-30 |