| NPI | 1497177018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL L SORBERO Owner 518-438-7483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2014-01-16 |