SpecialtyPediatric Dentist
LocationPt Jefferson Stn, NY
NPI1487793642
License number036005
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 07/08/2007). If this looks outdated, use "Report an issue" on this profile to suggest a correction.