Organization
BAYBROOK DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA MARIE CANALE D.M.D. (PRESIDENT)
(518) 792-5103
Entity
Organization
Contact information
Practice address
31 WILLOWBROOK RD, QUEENSBURY, NY 12804-5864
(518) 792-5103
(518) 792-5110
Mailing address
31 WILLOWBROOK RD, QUEENSBURY, NY 12804-5864
(518) 792-5103
(518) 792-5110
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
044937
NY
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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