| NPI | 1598808495 |
|---|---|
| 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 |