| NPI | 1609070697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY J SOBLER Orthodontist 845-634-3560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 28330) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |