| NPI | 1285831891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALEB A. GEORGE Partner 518-477-5360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 34479) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |