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 |