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Individual

CAITLIN DEITZ GRAZIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
600 MCCLELLAN ST, SCHENECTADY, NY 12304-1009
(518) 382-2270
(518) 347-5124
Mailing address
600 MCCLELLAN ST, SCHENECTADY, NY 12304-1009
(518) 382-2270
(518) 347-5124

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057316
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03968669
NY
Enumeration date
07/09/2013
Last updated
07/13/2015
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