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Organization

FARZAD SANI, DDS,PC

Active
Other names
Pediatric Dentistry Of Glens Falls
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FARZAD SANI DDS (OWNER DENTIST)
(518) 798-9966
Entity
Organization

Contact information

Practice address
88 BROAD STREET, GLENS FALLS, NY 12801
(518) 798-9966
(518) 798-0616
Mailing address
88 BROAD STREET, GLENS FALLS, NY 12801
(518) 798-9966
(518) 798-0616

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000404001006
BLUE SHIELD
NY
01
0017845
DORAL DENTAL
05
02410617
NY
01
10072379
CDPHP
NY
01
1496306
UNITED CONCORDIA
NY
Enumeration date
12/26/2007
Last updated
06/17/2008
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