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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
31 HALL DR # B, AMHERST, MA 01002-2751
(413) 253-9505
(413) 256-3188
Mailing address
6 EXECUTIVE PARK DR, SUITE C, CLIFTON PARK, NY 12065-5601
(518) 348-0240
(518) 348-0428

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
11/14/2006
Last updated
01/24/2013
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