| Dba Clifton Park Periodontics | |
|
983 Route 146 Clifton Park NY 12065-3616 | |
| (518) 371-3333 | |
| Not Available |
| Full Name | Dba Clifton Park Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 983 Route 146, Clifton Park, New York |
| Authorized Official Name and Position | Heidi Marie Hanna (OFFICE MANAGER) |
| Authorized Official Contact | 5186305420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Clifton Park Periodontics 945 Route 146 Suite 100 Clifton Park NY 12065-3649 Ph: (518) 630-5420 | Dba Clifton Park Periodontics 983 Route 146 Clifton Park NY 12065-3616 Ph: (518) 371-3333 |
| NPI Number | 1750795530 |
|---|---|
| Provider Enumeration Date | 06/19/2014 |
| Last Update Date | 07/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750795530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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