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Organization

CAPITAL AREA HUDSON VALLEY NY DENTAL PC

Active
Other names
1st Advantage Dental Queensbury US 9
Organization subpart
No

Provider details

NPI number
Authorized official
DR. G STEPHEN KNOLL (PC PRESIDENT)
(518) 587-3831
Entity
Organization

Contact information

Practice address
123 QUAKER RD, SUITE 101, QUEENSBURY, NY 12804-1714
(518) 746-4125
(518) 746-4131
Mailing address
6 EXECUTIVE PARK DR, SUITE C, CLIFTON PARK, NY 12065-5601
(518) 348-0240
(518) 348-0248

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
55499
NY

Other

Enumeration date
07/30/2013
Last updated
03/01/2022
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