Organization
3 STONE DENTAL
Active
Other names
Westgate Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELINA M SANTA MARIA (BUSINESS/FINANCE MANAGER)
(860) 444-9345
Entity
Organization
Contact information
Practice address
911 CENTRAL AVE, SUITE B4, ALBANY, NY 12206-1350
(518) 689-0100
(518) 689-0109
Mailing address
911 CENTRAL AVE, SUITE B4, ALBANY, NY 12206-1350
(518) 689-0100
(518) 689-0109
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
051925
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051925
STATE DENTAL LICENSE
NY
01
—
055515-1
STATE DENTAL LICENSE
NY
Enumeration date
08/02/2011
Last updated
08/02/2011
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