| NPI | 1881965796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRY OVRUTSKY Owner 845-735-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 050128) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |