| NPI | 1275798209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUSOLA O RUNSEWE Dentist/Owner 845-462-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 049194) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2008-07-18 |