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
- City
- Gloversville
- State
- New York
- 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 Dentistry — Pediatric Dentistry |
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