| NPI | 1902042260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA I. SALDANA CEO/President 518-986-4355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 042832) |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2015-01-21 |