| NPI | 1588467021 |
|---|---|
| Doing Business As | LOUDONVILLE AESTHETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DEANNA DAVIDYUK Dentist 518-935-8057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-03-31 |