| Keeseville Dental, Pc | |
|
122 Pleasant St Keeseville NY 12944-3730 | |
| (518) 834-7001 | |
| Not Available |
| Full Name | Keeseville Dental, Pc |
|---|---|
| Speciality | Dentist |
| Location | 122 Pleasant St, Keeseville, New York |
| Authorized Official Name and Position | Bruce A Weisberg (OWNER) |
| Authorized Official Contact | 5188347001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keeseville Dental, Pc 122 Pleasant St Keeseville NY 12944-3730 Ph: (518) 834-7001 | Keeseville Dental, Pc 122 Pleasant St Keeseville NY 12944-3730 Ph: (518) 834-7001 |
| NPI Number | 1518134667 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 05/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518134667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 047771 (New York) | Primary |