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Organization
W & R GEYSER RD, LLC
Active
Organization
W & R GEYSER RD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS J. CHAUVIN (OWNER)
(518) 885-1095
Entity
Organization
Contact information
Practice address
424 GEYSER RD, BALLSTON SPA, NY 12020-3021
(518) 885-1095
(518) 885-1137
Mailing address
424 GEYSER RD, BALLSTON SPA, NY 12020-3021
(518) 885-1095
(518) 885-1137
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32884
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00527913
—
NY
Enumeration date
01/29/2010
Last updated
02/20/2017
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