Acaht Idental Pc | |
523 W Clinton St Ithaca NY 14850-5233 | |
(607) 272-2081 | |
Not Available |
Full Name | Acaht Idental Pc |
---|---|
Speciality | Dentist |
Location | 523 W Clinton St, Ithaca, New York |
Authorized Official Name and Position | Betsy L. Peterson (DR/VICE PRESIDENT) |
Authorized Official Contact | 6072722081 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Acaht Idental Pc 523 W Clinton St Ithaca NY 14850-5233 Ph: (607) 272-2081 | Acaht Idental Pc 523 W Clinton St Ithaca NY 14850-5233 Ph: (607) 272-2081 |
NPI Number | 1366813313 |
---|---|
Provider Enumeration Date | 10/16/2015 |
Last Update Date | 10/16/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366813313 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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