EDMISE FORESTAL

ALBANY, NY
NPI1497726590
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  052278)
Enumeration Date2006-01-28
Last Update Date2007-07-09
Business Address
-- EDMISE FORESTAL DDS
1839 CENTRAL AVE
ALBANY, NY 12205-4748
Phone number: 518-464-0402
Mailing Address
-- EDMISE FORESTAL DDS
415 N GRAND AVE
PUEBLO, CO 81003-3111
Phone number: 719-583-1800