| NPI | 1942676606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA DUNLAP Owner/Provider 518-762-4321 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 048515) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |