| 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 |