| NPI | 1811171465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOSEPH MALONEY President/Secretary 518-782-9015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 043407) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |