Individual
MAX SANACORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
939 ROUTE 146 STE 4, CLIFTON PARK, NY 12065-3629
(518) 631-9771
Mailing address
939 ROUTE 146 STE 4, CLIFTON PARK, NY 12065-3629
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
061992
NY
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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