Primary Teeth Pediatric Dentistry Pllc

NPI #1114548617 in Gloversville, New York

Provider Information

NPI Number
1114548617
Entity Type
Organization
Organization Name
Primary Teeth Pediatric Dentistry Pllc
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
May 6, 2020
Last Updated
May 6, 2020

Practice Location

Address
199 S MAIN ST
ZIP Code
12078-4240
Phone
(518) 601-2220

Authorized Official

Name
DR. JAKE FRIED, DDS
Title
OWNER
Phone
(518) 601-2220

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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