Individual
ADAM SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 HILAND SPRINGS WAY APT D, QUEENSBURY, NY 12804-3112
(617) 999-4460
Mailing address
35 HILAND SPRINGS WAY APT D, QUEENSBURY, NY 12804-3112
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
056576
NY
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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