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Organization
RICHMONDVILLE FAMILY DENTAL PRACTICE, PLLC.
Active
Organization
RICHMONDVILLE FAMILY DENTAL PRACTICE, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICTORIA JUNE CHICHESTER (OFFICE MANAGER)
(518) 294-6015
Entity
Organization
Contact information
Practice address
303 MAIN ST., RICHMONDVILLE, NY 12149-0492
(518) 294-6015
(518) 294-6017
Mailing address
PO BOX 492, 303 MAIN ST, RICHMONDVILLE, NY 12149-0492
(518) 294-6015
(518) 294-6017
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/13/2007
Last updated
08/22/2007
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