| NPI | 1023151982 |
|---|---|
| Doing Business As | 1ST ADVANTAGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | G STEPHEN KNOLL President 518-587-3831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2013-01-23 |