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1104112267
DYNAMIC DENTAL SERVICES
TROY, NY
NPI
1104112267
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Entity Type
Organization
Authorized Contact
BRENDA YVONNE PORTER
President
518-274-6741
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 04449-1)
Enumeration Date
2011-06-27
Last Update Date
2011-06-27
Business Address
DYNAMIC DENTAL SERVICES
2121 6TH AVE
TROY, NY 12180-2849
Phone number: 518-274-6741
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Mailing Address
DYNAMIC DENTAL SERVICES
2121 6TH AVE
TROY, NY 12180-2849
Phone number: 518-274-6741
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