Organization
CAPITAL AREA HUDSON VALLEY NEW YORK DENTAL PC
Active
Parent organization
CAPITAL AREA HUDSON VALLEY NEW YORK DENTAL PC
Other names
1st Advantage Dental - Glenville
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAPITAL AREA HUDSON VALLEY NEW YORK DENTAL PC
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
493 SARATOGA RD, GLENVILLE, NY 12302-5429
(518) 399-4031
(518) 384-3315
Mailing address
493 SARATOGA RD, GLENVILLE, NY 12302-5429
(518) 399-4031
(518) 384-3315
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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