Organization
CAPITAL AREA HUDSON VALLEY NEW YORK DENTAL, PC
Active
Other names
1st Advantage Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE STEPHEN KNOLL DDS (PRESIDENT)
(518) 587-3831
Entity
Organization
Contact information
Practice address
1201 TROY SCHENECTADY RD, LATHAM, NY 12110-1028
(518) 785-3084
(518) 785-0243
Mailing address
6 EXECUTIVE PARK DR, SUITE 6C, CLIFTON PARK, NY 12065-5601
(518) 348-0240
(518) 348-0248
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/14/2006
Last updated
07/13/2009
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