| NPI | 1629470919 |
|---|---|
| Other Name | SPH DENTAL GROUP PRACTICE |
| Entity Type | Organization |
| Authorized Contact | COURTNEY KNOWLES Credentialing Manager 518-525-5634 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2021-10-11 |