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Organization
RACHEL HARGRAVES DDS PLLC
Active
Organization
RACHEL HARGRAVES DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL HARGRAVES DDS (OWNER)
(518) 899-2252
Entity
Organization
Contact information
Practice address
30 ROUND LAKE RD, BALLSTON LAKE, NY 12019-1130
(518) 899-2252
Mailing address
30 ROUND LAKE RD, BALLSTON LAKE, NY 12019-1130
(518) 899-2252
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
056649
NY
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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