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Organization
283 HURLEY AVE DENTAL, PLLC
Active
Organization
283 HURLEY AVE DENTAL, PLLC
Active
Other names
Dr. Gene DeStefano, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY MAISCH (DIRECTOR OF OPERATIONS)
(845) 430-9394
Entity
Organization
Contact information
Practice address
283 HURLEY AVE, KINGSTON, NY 12401-2421
(845) 430-9394
Mailing address
283 HURLEY AVE, KINGSTON, NY 12401-2421
(845) 430-9394
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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