Organization
BURNT HILLS FAMILY DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH KING (BUSINESS MANAGER)
(518) 885-1791
Entity
Organization
Contact information
Practice address
154 LAKE HILL RD, BURNT HILLS, NY 12027-9518
(518) 399-5528
Mailing address
154 LAKE HILL RD, BURNT HILLS, NY 12027-9518
(518) 399-5528
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046659
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03275514
—
NY
Enumeration date
06/09/2016
Last updated
06/09/2016
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