| NPI | 1316110612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LOZMAN President 518-785-9441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |