| NPI | 1326165101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ROGER MILLER Presideny 518-273-0089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 038522) |
| Enumeration Date | 2007-03-25 |
| Last Update Date | 2020-08-22 |