| NPI | 1639436876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A MAHAR Office Manager 845-279-7177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 035071) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |