Organization
FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH KELMAN DDS (OWNER)
(518) 438-8161
Entity
Organization
Contact information
Practice address
489 WESTERN AVE, ALBANY, NY 12203
(518) 438-8161
(518) 438-8123
Mailing address
489 WESTERN AVE, ALBANY, NY 12203
(518) 438-8161
(518) 438-8173
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
026473-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00393031
—
NY
Enumeration date
03/19/2008
Last updated
07/17/2008
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