| NPI | 1831430511 |
|---|---|
| Doing Business As | 1ST ADVANTAGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | G STEPHEN KNOLL Pc President 518-371-8481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA DN1856165) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |