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Individual

J SEPH ANTHONY DEMEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD, MS

Contact information

Practice address
939 NY ROUTE 146, STE 400, CLIFTON PARK, NY 12065
(518) 631-9771
Mailing address
6 E HILLS BLVD, LOUDONVILLE, NY 12211-2618
(202) 802-0984

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DT2761
HI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0401412896
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
062946
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DT2761
HI

Other

Enumeration date
04/07/2010
Last updated
07/10/2023
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