Organization
CAPITAL AREA HUDSON VALLEY NEW YORK DENTAL PC
Active
Parent organization
CAPITAL AREA HUDSON VALLEY NEW YORK DENTAL PC
Other names
1st Advantage Dental - Latham
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAPITAL AREA HUDSON VALLEY NEW YORK DENTAL PC
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
1207 TROY SCHENECTADY RD, LATHAM, NY 12110-1003
(518) 785-3084
(518) 785-0243
Mailing address
1207 TROY SCHENECTADY RD, LATHAM, NY 12110-1003
(518) 785-3084
(518) 785-0243
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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