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Organization

PETRA V. ENZIEN, DMD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETRA VICTORIA ENZIEN DMD (OWNER)
(518) 664-2500
Entity
Organization

Contact information

Practice address
211 PARK AVE, MECHANICVILLE, NY 12118-1502
(518) 664-2500
(518) 664-2501
Mailing address
211 PARK AVE, MECHANICVILLE, NY 12118-1502
(518) 664-2500
(518) 664-2501

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
046460
NY

Other

Enumeration date
12/19/2009
Last updated
12/19/2009
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