| NPI | 1104468172 |
|---|---|
| Doing Business As | DENTAL, DENTURES & IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | DOUG CLOSINSKI Director Of Operations 518-376-6328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |