| NPI | 1619030061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH L MASSO Dentist Owner 845-225-8802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 048064) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2015-01-12 |