Abdentistrypllc | |
515 1/2 Albany Shaker Rd Loudonville NY 12211-2135 | |
(518) 458-1320 | |
(518) 458-9670 |
Full Name | Abdentistrypllc |
---|---|
Speciality | Dentist |
Location | 515 1/2 Albany Shaker Rd, Loudonville, New York |
Authorized Official Name and Position | Antonio Boncordo (DENTIST) |
Authorized Official Contact | 5184581320 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Abdentistrypllc 515 1/2 Albany Shaker Rd Loudonville NY 12211-2135 Ph: (518) 458-1320 | Abdentistrypllc 515 1/2 Albany Shaker Rd Loudonville NY 12211-2135 Ph: (518) 458-1320 |
NPI Number | 1265815088 |
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Provider Enumeration Date | 06/30/2015 |
Last Update Date | 06/30/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265815088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 046050-1 (New York) | Primary |
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› Verified 4 days ago
Albany Shaker Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 Albany Shaker Rd, Loudonville, NY 12211 Phone: 518-438-1131 | |
Lasting Impressions Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 Albany Shaker Rd Ste 201, Loudonville, NY 12211 Phone: 518-438-1131 | |
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