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Organization
O'BRIEN DENTAL PLLC
Active
Organization
O'BRIEN DENTAL PLLC
Active
Other names
Sitwell Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN O'BRIEN DDS (OWNER)
(518) 459-0711
Entity
Organization
Contact information
Practice address
2443 STATE ROUTE 9 STE 210, MALTA, NY 12020-4518
(518) 400-0735
(518) 677-1123
Mailing address
107 EVERETT RD, ALBANY, NY 12205-6408
(518) 459-0711
(518) 459-0867
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NY
Enumeration date
02/21/2018
Last updated
02/21/2018
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