| NPI | 1285058578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA KROBOTH Owner/Orthodontist 845-227-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 038551) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 055873) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2014-02-07 |