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Individual

IRINA TSESIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
740 HOOSICK RD, TROY, NY 12180-6679
(518) 272-7716
(518) 727-7696
Mailing address
120 BRANDON TERR, ALBANY, NY 12203-6003
(518) 862-0034

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
046419
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02405347
NY
Enumeration date
05/01/2007
Last updated
07/08/2007
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