NPI | 1992978407 |
---|---|
Entity Type | Organization |
Authorized Contact | JUAN B ESPAILLAT Owner Dentist 845-426-1619 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 050765) |
Enumeration Date | 2008-04-04 |
Last Update Date | 2008-04-04 |