Organization
JAMES MCDONNELL INC
Active
Other names
Pediatric Dentistry of Clifton Park
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MCGRATH (OFFICE MANAGER)
(518) 373-1181
Entity
Organization
Contact information
Practice address
532 MOE RD, CLIFTON PARK, NY 12065-3822
(518) 373-1181
(518) 348-6517
Mailing address
532 MOE RD, CLIFTON PARK, NY 12065-3822
(518) 373-1181
(518) 348-6517
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
50048803
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02145742
—
NY
05
—
02937002
—
NY
Enumeration date
06/27/2008
Last updated
06/27/2008
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