Organization
DUANE AVENUE DENTAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID STASKO DDS (PRESIDENT)
(518) 895-8006
Entity
Organization
Contact information
Practice address
181 DUANE AVENUE, DUANESBURG, NY 12056
(518) 895-8006
(518) 895-8391
Mailing address
PO BOX 177, DUANESBURG, NY 12056-0177
(518) 895-8006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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