Spa Dental, PC
NPI #1700135886 in Ballston Spa, New York
Provider Information
- NPI Number
- 1700135886
- Entity Type
- Organization
- Organization Name
- Spa Dental, PC
- Primary Specialty
- Dentist
- Enumeration Date
- Sep 5, 2012
- Last Updated
- Sep 5, 2012
Practice Location
- Address
- 68 MILTON AVENUE
- City
- Ballston Spa
- State
- New York
- ZIP Code
- 12020
- Phone
- (518) 885-1791
Authorized Official
- Name
- DR. JAMES T HANSEN, D,M.D.
- Title
- OWNER/PRESIDENT
- Phone
- (518) 885-1791
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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| James Reynolds | |
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|---|---|
| W & R Geyser Rd, LLC |
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