| NPI | 1831303569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LYNCH CEO 518-348-0634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 034917) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 045890) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 053589) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 055974) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 050384) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 049895) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 50933) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2018-12-03 |