Organization
PINNACLE PERIODONTICS AND DENTAL IMPLANT RECONSTRUCTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J WILLIAMS DMD (PRESIDENT)
(518) 631-6444
Entity
Organization
Contact information
Practice address
1631 CRESCENT RD, CLIFTON PARK, NY 12065-6802
(518) 631-6444
(414) 499-3605
Mailing address
1631 CRESCENT RD, CLIFTON PARK, NY 12065-6802
(518) 631-6444
(414) 499-3605
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
055869-1
NY
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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