| Jefferson Valley Dental Associates, P.c. | |
|
3654 Lee Rd Jefferson Valley NY 10535 | |
| (914) 245-4760 | |
| (914) 243-9861 |
| Full Name | Jefferson Valley Dental Associates, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3654 Lee Rd, Jefferson Valley, New York |
| Authorized Official Name and Position | Jose Rafael Lugay (PRESIDENT) |
| Authorized Official Contact | 9142454760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Valley Dental Associates, P.c. P.o. Box 489 Jefferson Valley NY 10535 Ph: (914) 245-4760 | Jefferson Valley Dental Associates, P.c. 3654 Lee Rd Jefferson Valley NY 10535 Ph: (914) 245-4760 |
| NPI Number | 1548402142 |
|---|---|
| Provider Enumeration Date | 03/27/2009 |
| Last Update Date | 03/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548402142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 045330 (New York) | Primary |
| 1223G0001X | Dentist - General Practice | 044.672 (New York) | Secondary |
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