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Organization
ALBANY SHAKER DENTAL
Active
Organization
ALBANY SHAKER DENTAL
Active
Other names
Lasting Impressions Dental
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY MAISCH (DIRECTOR OF OPERATIONS)
(845) 430-9394
Entity
Organization
Contact information
Practice address
399 ALBANY SHAKER RD, LOUDONVILLE, NY 12211-1961
(518) 438-1131
Mailing address
1153 FLATBUSH RD, KINGSTON, NY 12401-7011
(845) 853-8325
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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