Individual
JESSICA ANN THALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3761 MAIN ST, WARRENSBURG, NY 12885-1837
(518) 623-3918
(518) 623-4330
Mailing address
9 CAREY RD, QUEENSBURY, NY 12804-7880
(518) 761-0300
(518) 824-2388
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
026775
NY
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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