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Organization
RONDOUT VALLEY FAMILY DENTISTRY
Active
Organization
RONDOUT VALLEY FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE WILLIAM ST. HILL D.D.S. (PRESIDENT)
(845) 687-0600
Entity
Organization
Contact information
Practice address
10 GAGNON DRIVE, STONE RIDGE, NY 12484
(845) 687-0600
(845) 687-7296
Mailing address
PO BOX 235, STONE RIDGE, NY 12484-0235
(845) 687-0600
(845) 687-7296
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
034680
NY
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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