| NPI | 1003940875 |
|---|---|
| Doing Business As | UNION STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | AMY MARY SEMENTILLI Owner 518-356-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 046910-1) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-06-12 |