| NPI | 1275832743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARVEEN SULTANA Dentist 518-534-2855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS038274) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2011-03-22 |