| NPI | 1801016845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS BRUCE SMAIL Owner 518-272-3221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 044679) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |