NPI | 1144453226 |
---|---|
Doing Business As | 1ST ADVANTAGE DENTAL - COLONIE |
Entity Type | Organization |
Authorized Contact | CELIA HAYES Credentialing Coordinator 217-540-2100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 42469) |
Enumeration Date | 2009-08-24 |
Last Update Date | 2022-08-15 |