Individual
DR. ANTONIO BONCORDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
515 1/2 ALBANY SHAKER RD, LOUDONVILLE, NY 12211
(518) 458-1320
(518) 458-9670
Mailing address
515 1/2 ALBANY SHAKER RD, LOUDONVILLE, NY 12211
(518) 458-1320
(518) 458-9670
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0460501
NY
Other
Enumeration date
09/12/2006
Last updated
07/08/2007
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