Hudson Valley Mall Dental LLP

NPI #1447550033 in Kingston, New York

Provider Information

NPI Number: 1447550033
Entity Type: Organization
Organization Name: Hudson Valley Mall Dental LLP
Primary Specialty: Dentist
Enumeration Date: Oct 28, 2010
Last Updated: Oct 28, 2010

Practice Location

Address: 1300 ULSTER AVE
Address 2: 160
City: Kingston
State: New York
ZIP Code: 12401-1501
Phone: (845) 336-0400

Authorized Official

Name: ROSS KRASNOV, DDS
Title: OWNER
Phone: (845) 336-0400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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