Organization
CAPITAL DISTRICT ENDODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BART RIZZUTO DDS (ENDODONTIST)
(518) 377-1234
Entity
Organization
Contact information
Practice address
2317 BALLTOWN RD, SUITE 201, NISKAYUNA, NY 12309-2339
(518) 377-1234
Mailing address
2317 BALLTOWN RD, SUITE 201, NISKAYUNA, NY 12309-2339
(518) 377-1234
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
044203
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044203
DDS
NY
01
—
048904
DDS
NY
Enumeration date
01/10/2011
Last updated
01/10/2011
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