SPA DENTAL, PC

BALLSTON SPA, NY
NPI1700135886
Entity TypeOrganization
Authorized ContactJAMES T HANSEN
Owner/President
518-885-1791
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: NY  046659)
Enumeration Date2012-09-05
Last Update Date2012-09-05
Business Address
SPA DENTAL, PC
68 MILTON AVENUE
BALLSTON SPA, NY 12020
Phone number: 518-885-1791
Mailing Address
SPA DENTAL, PC
68 MILTON AVENUE
BALLSTON SPA, NY 12020
Phone number: 518-885-1791
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