| NPI | 1326184508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LYNN MARVIN Office Manager 845-354-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 048411-1) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2009-05-11 |