Individual
JAIME FUERTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1710 ALTAMONT AVE, SCHENECTADY, NY 12303-2154
(518) 356-3300
(518) 356-8003
Mailing address
281 SANDERS CREEK PKWY, EAST SYRACUSE, NY 13057-1307
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3224
PR
1223G0001X
General Practice Dentistry
Primary
55484
NY
Other
Enumeration date
07/22/2011
Last updated
11/17/2020
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