| NPI | 1497907448 |
|---|---|
| Doing Business As | UNION STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | ANGELINA M SANTA MARIA Practice Administrator 518-346-6429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 051914-1) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |