| NPI | 1457024218 |
|---|---|
| Doing Business As | HOMETOWN HEALTH CENTERS DENTAL AT MCCLELLAN STREET |
| Entity Type | Organization |
| Authorized Contact | AMY J COLE Credentialing Manager 518-370-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2021-08-18 |