| NPI | 1952371635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LEE DUNHAM Doctor Owner President 518-584-2128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 040776) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2020-08-22 |