| NPI | 1730580671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA MCNEAL Owner Dentist 518-842-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 053982) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |