Countryside Dental

NPI #1952558074 in Chatham, New York

Provider Information

NPI Number
1952558074
Entity Type
Organization
Organization Name
Countryside Dental
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 20, 2008
Last Updated
Aug 20, 2008

Practice Location

Address
42 KINDERHOOK ST
ZIP Code
12037-1207
Phone
(518) 392-5231

Authorized Official

Name
DR. DOMENIC RICCOBONO, DDS
Title
OWNER
Phone
(518) 392-5231

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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