Hudson Valley Plaza Dental LLP
Dentist in Troy, NY. Organization (NPI-2).
NPI number1710247580
StatusActive
Last updated in NPPESMay 25, 2012
Details
- NPI
- 1710247580
- Entity type
- Organization (NPI-2)
- Legal business name
- Hudson Valley Plaza Dental LLP
- Organization subpart
- No
- Enumeration date
- May 25, 2012
- Last updated
- May 25, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 046043 | NY | Yes |
Practice location
79 Vandenburgh AveTroy, NY 12180-6024
Phone 518-273-7777
Mailing address
79 Vandenburgh AveTroy, NY 12180-6024
Phone 518-273-7777
Authorized official
Ross Krasnov
Owner
5182737777
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