Organization
CAPITAL AREA HUDSON VALLEY NY DENTAL
Active
Other names
1st Advantage Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. G STEPHEN KNOLL DDS (PRESIDENT)
(518) 587-3831
Entity
Organization
Contact information
Practice address
80 FLAT ST, SUITE 101, BRATTLEBORO, VT 05301-3272
(802) 254-6634
(802) 254-9234
Mailing address
6 EXECUTIVE PARK DR, SUITE C, CLIFTON PARK, NY 12065-5601
(518) 348-0240
(518) 348-0248
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/14/2007
Last updated
01/23/2013
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