| NPI | 1790857944 |
|---|---|
| Doing Business As | 1ST ADVANTAGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | GEORGE STEPHEN KNOLL President 518-587-3831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2009-07-13 |