Individual
DR. DIANE KATHRYN RADEMACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7 UNION STREET, BALLSTON SPA, NY 12020-1135
(518) 885-3877
Mailing address
7 UNION ST, BALLSTON SPA, NY 12020-1238
(518) 885-3877
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
043980
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02428348
—
NY
Enumeration date
01/20/2006
Last updated
11/15/2013
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