| Westgate Smiles | |
|
911 Central Ave Suite B4 Albany NY 12206-1350 | |
| (518) 689-0100 | |
| (518) 689-0109 |
| Full Name | Westgate Smiles |
|---|---|
| Speciality | Dentist |
| Location | 911 Central Ave, Albany, New York |
| Authorized Official Name and Position | Angelina M Santa Maria (BUSINESS/FINANCE MANAGER) |
| Authorized Official Contact | 8604449345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westgate Smiles 911 Central Ave Suite B4 Albany NY 12206-1350 Ph: (518) 689-0100 | Westgate Smiles 911 Central Ave Suite B4 Albany NY 12206-1350 Ph: (518) 689-0100 |
| NPI Number | 1073891446 |
|---|---|
| Provider Enumeration Date | 08/02/2011 |
| Last Update Date | 08/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073891446 | NPI | - | NPPES |
| 051925 | Other | NY | STATE DENTAL LICENSE |
| 055515-1 | Other | NY | STATE DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 051925 (New York) | Primary |
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