| NPI | 1356741300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MOSKOWITZ Owner 518-584-7437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2020-09-03 |