| NPI | 1457887952 | 
|---|---|
| Doing Business As | LIFETIME DENTAL HEALTH OF HUDSON VALLEY | 
| Entity Type | Organization | 
| Authorized Contact | CASSANDRA NICHOLE TEUTSCH Credentialing Coordinator 217-540-8972 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice | 
| Enumeration Date | 2017-05-04 | 
| Last Update Date | 2017-05-04 |