Organization
KEESEVILLE DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE A WEISBERG D.D.S. (OWNER)
(518) 834-7001
Entity
Organization
Contact information
Practice address
122 PLEASANT ST, KEESEVILLE, NY 12944-3730
(518) 834-7001
Mailing address
122 PLEASANT ST, KEESEVILLE, NY 12944-3730
(518) 834-7001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047771
NY
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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