| My Saratoga Dentist Pllc | |
|
569 N Broadway Suite 1 Saratoga Springs NY 12866-1646 | |
| (518) 633-4226 | |
| Not Available |
| Full Name | My Saratoga Dentist Pllc |
|---|---|
| Speciality | Dentist |
| Location | 569 N Broadway, Saratoga Springs, New York |
| Authorized Official Name and Position | Ryan P Osinski (SOLE MEMBER) |
| Authorized Official Contact | 5186334226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Saratoga Dentist Pllc 569 N Broadway Suite 1 Saratoga Springs NY 12866-1646 Ph: (518) 584-9172 | My Saratoga Dentist Pllc 569 N Broadway Suite 1 Saratoga Springs NY 12866-1646 Ph: (518) 633-4226 |
| NPI Number | 1992165146 |
|---|---|
| Provider Enumeration Date | 03/01/2016 |
| Last Update Date | 03/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992165146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 052055 (New York) | Primary |
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