| NPI | 1518956515 |
|---|---|
| Former Legal Business Name | KJELL DAHLEN MD PC |
| Entity Type | Organization |
| Authorized Contact | KJELL DAHLEN President 518-566-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2016-09-22 |