Organization
KIDS & FAMILY DENTAL PC
Active
Other names
Wilson Dental Group of Albany PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON NICOLETTI DDS (OWNER DOCTOR)
(518) 435-0390
Entity
Organization
Contact information
Practice address
65 WOLF RD, ALBANY, NY 12205-2630
(518) 435-0390
(518) 435-0379
Mailing address
65 WOLF RD, ALBANY, NY 12205-2630
(518) 435-0390
(518) 435-0379
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052806
NY
Other
Enumeration date
07/12/2011
Last updated
05/10/2021
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