Organization
AFFORDABLE DENTURES - ALBANY NY II, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETALROSE WENHAM-CLARK DDS (PRACTICE OWNER)
(518) 218-7792
Entity
Organization
Contact information
Practice address
1554 CENTRAL AVE, ALBANY, NY 12205-5049
(518) 218-7792
Mailing address
1554 CENTRAL AVE, ALBANY, NY 12205-5049
(518) 218-7792
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045037-1
NY
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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