JONATHAN DAVID VALLECORSA

LATHAM, NY
NPI1821613464
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NY  062048)
Enumeration Date2020-06-09
Last Update Date2021-09-30
Business Address
JONATHAN DAVID VALLECORSA
4 SUNSET DR
LATHAM, NY 12110-2104
Phone number: 518-785-5100
Mailing Address
JONATHAN DAVID VALLECORSA
4 SUNSET DR
LATHAM, NY 12110-2104
Phone number: 518-785-5100
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