| Baybrook Dental Group | |
|
31 Willowbrook Rd Queensbury NY 12804-5864 | |
| (518) 792-5103 | |
| (518) 792-5110 |
| Full Name | Baybrook Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 31 Willowbrook Rd, Queensbury, New York |
| Authorized Official Name and Position | Gina Marie Canale (PRESIDENT) |
| Authorized Official Contact | 5187925103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baybrook Dental Group 31 Willowbrook Rd Queensbury NY 12804-5864 Ph: (518) 792-5103 | Baybrook Dental Group 31 Willowbrook Rd Queensbury NY 12804-5864 Ph: (518) 792-5103 |
| NPI Number | 1689020679 |
|---|---|
| Provider Enumeration Date | 05/09/2016 |
| Last Update Date | 05/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689020679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 044937 (New York) | Primary |
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