NPI | 1750768883 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTIANE ASHBA President 518-772-7772 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 056496) |
Enumeration Date | 2015-04-27 |
Last Update Date | 2015-04-27 |