W & R Geyser Rd, LLC

NPI #1376874461 in Ballston Spa, New York

Provider Information

NPI Number: 1376874461
Entity Type: Organization
Organization Name: W & R Geyser Rd, LLC
Primary Specialty: Dentist
Enumeration Date: Jan 29, 2010
Last Updated: Feb 20, 2017

Practice Location

Address: 424 GEYSER RD
City: Ballston Spa
State: New York
ZIP Code: 12020-3021
Phone: (518) 885-1095

Authorized Official

Name: DR. NICHOLAS J. CHAUVIN
Title: OWNER
Phone: (518) 885-1095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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