Individual
JOSEPH ROBERTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
531 MOE RD, CLIFTON PARK, NY 12065-3807
(518) 371-8206
Mailing address
2 HILANDER DR, LOUDONVILLE, NY 12211-2602
(518) 783-7707
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
047106
NY
Other
Enumeration date
02/04/2007
Last updated
07/08/2007
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