| NPI | 1760684500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS JAMES CHAUVIN Owner 518-371-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NY 051508) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2008-05-21 |