| Petra V. Enzien, Dmd, Pllc | |
|
211 Park Ave Mechanicville NY 12118-1502 | |
| (518) 664-2500 | |
| (518) 664-2501 |
| Full Name | Petra V. Enzien, Dmd, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 211 Park Ave, Mechanicville, New York |
| Authorized Official Name and Position | Petra Victoria Enzien (OWNER) |
| Authorized Official Contact | 5186642500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Petra V. Enzien, Dmd, Pllc 211 Park Ave Mechanicville NY 12118-1502 Ph: (518) 664-2500 | Petra V. Enzien, Dmd, Pllc 211 Park Ave Mechanicville NY 12118-1502 Ph: (518) 664-2500 |
| NPI Number | 1538498654 |
|---|---|
| Provider Enumeration Date | 12/19/2009 |
| Last Update Date | 12/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538498654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 046460 (New York) | Primary |
Family Dental Associates Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Park Ave, Mechanicville, NY 12118 Phone: 518-664-0762 Fax: 518-664-0765 | |
Vincent Fuschino, Dds, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 42 N Main St, Mechanicville, NY 12118 Phone: 518-664-4903 Fax: 518-664-2411 |