Individual
HOLLY LYNN FADIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
713 PIERCE RD, CLIFTON PARK, NY 12065-1302
(518) 373-1181
Mailing address
4 E COVE RD, SARATOGA SPRINGS, NY 12866-7414
(815) 404-3214
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
061267
NY
Other
Enumeration date
07/25/2011
Last updated
10/20/2020
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