| NPI | 1821118647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DRUCE President 845-342-4334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 041058) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-10-11 |