NPI | 1245373133 |
---|---|
Doing Business As | 1ST ADVANTAGE DENTAL |
Entity Type | Organization |
Authorized Contact | GARY HUTTON President 518-828-3007 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-02-14 |
Last Update Date | 2020-08-22 |