Individual
ENRIQUE OVALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
314 S MANNING BLVD, ALBANY, NY 12208-1708
(518) 437-5700
Mailing address
82 CHESTNUT ST, ALBANY, NY 12210-1902
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
032227-01
NY
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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