| NPI | 1649646308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS EIGO Orthodontist 518-222-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 044228) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 046051) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |