Organization
CLIFTON PARK PERIODONTICS AND DENTAL IMPLANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA LAM (MEMBER)
(518) 631-5988
Entity
Organization
Contact information
Practice address
1536 CRESCENT RD STE B8, CLIFTON PARK, NY 12065-7729
(518) 313-6091
Mailing address
1536 CRESCENT RD STE B8, CLIFTON PARK, NY 12065-7729
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
09/20/2021
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