Organization
ASSOCIATED DENTAL ARTS, PC
Active
Other names
Rose Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ONOFRIO SANTORO DMD (OWNER PRESIDENT)
(518) 690-4102
Entity
Organization
Contact information
Practice address
5 PINE WEST PLZ, WASHINGTON AVENUE EXTENSION, ALBANY, NY 12205-5587
(518) 456-7673
(518) 456-8256
Mailing address
5 PINE WEST PLZ, WASHINGTON AVENUE EXTENSION, ALBANY, NY 12205-5587
(518) 456-7673
(518) 456-8256
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
026279
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02197400
—
NY
Enumeration date
11/02/2006
Last updated
08/22/2020
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