NPI | 1811075518 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD PAUL HERMAN President 845-634-6767 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 31123) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-08-22 |