NPI | 1689825572 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT M. SEBASTIEN Owner 518-483-2137 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 044908-1) |
Enumeration Date | 2008-10-09 |
Last Update Date | 2008-10-09 |