Organization
HUDSON VALLEY DENTAL ASSOCIATES PLLC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY CLUETT (PROVIDER ENROLLMENT SPECIALIST)
31545460000
Entity
Organization
Contact information
Practice address
474 HOLIDAY DR STE 1, RUTLAND, VT 05701-4889
(802) 775-1600
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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