| NPI | 1538456595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANYELLE MARIE BROOKINS Dental Hygienist 518-462-7049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NY 020288) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |