| Orthodontic Group Of The Finger Lakes | |
|
412 N Tioga St Ithaca NY 14850-4256 | |
| (607) 272-3921 | |
| (607) 272-7150 |
| Full Name | Orthodontic Group Of The Finger Lakes |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 412 N Tioga St, Ithaca, New York |
| Authorized Official Name and Position | Robert Baker (PRESIDENT) |
| Authorized Official Contact | 6072729321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthodontic Group Of The Finger Lakes 412 N Tioga St Ithaca NY 14850-4256 Ph: (607) 272-3921 | Orthodontic Group Of The Finger Lakes 412 N Tioga St Ithaca NY 14850-4256 Ph: (607) 272-3921 |
| NPI Number | 1518204254 |
|---|---|
| Provider Enumeration Date | 01/15/2013 |
| Last Update Date | 01/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518204254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 0414901 (New York) | Primary |
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