| David J. Vallecorsa Dds Pllc | |
|
4 Sunset Dr Latham NY 12110-2104 | |
| (518) 785-5100 | |
| (518) 785-5171 |
| Full Name | David J. Vallecorsa Dds Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4 Sunset Dr, Latham, New York |
| Authorized Official Name and Position | David Vallecorsa (DENTIST/OWNER) |
| Authorized Official Contact | 5184419405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David J. Vallecorsa Dds Pllc 4 Sunset Dr Latham NY 12110-2104 Ph: (518) 785-5100 | David J. Vallecorsa Dds Pllc 4 Sunset Dr Latham NY 12110-2104 Ph: (518) 785-5100 |
| NPI Number | 1043045461 |
|---|---|
| Provider Enumeration Date | 09/05/2024 |
| Last Update Date | 09/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043045461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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