| NPI | 1629809793 |
|---|---|
| Doing Business As | ENDODONTIC SPECIALITY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | JACLYN CRUZ CEO 845-750-5649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |