| NPI | 1548454861 |
|---|---|
| Doing Business As | MIDDLETOWN DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CRAIG S SHAPIRO President 845-343-2192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 47090) |
| Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: NY 47090) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |