Organization
ALBANY SHAKER DENTAL
Active
Other names
Lasting Impressions Dental
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY MAISCH (DIRECTOR OF OPERATIONS)
(845) 430-9394
Entity
Organization
Contact information
Practice address
399 ALBANY SHAKER RD, LOUDONVILLE, NY 12211-1961
(518) 438-1131
Mailing address
1153 FLATBUSH RD, KINGSTON, NY 12401-7011
(845) 853-8325
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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