| NPI | 1487741831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE MENKEN President 845-634-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 18934) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |