| NPI | 1346764636 |
|---|---|
| Doing Business As | PUTNAM ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH GALLAGHER Practice Administrator 917-288-6414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NY 052946) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2018-03-17 |