Orthodontic Group Of The Fingerlakes Pllc | |
412 N Tioga St Ithaca NY 14850-4256 | |
(607) 272-3921 | |
Not Available |
Full Name | Orthodontic Group Of The Fingerlakes Pllc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 412 N Tioga St, Ithaca, New York |
Authorized Official Name and Position | Mark A Paciorek (PRESIDENT) |
Authorized Official Contact | 6072723921 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Orthodontic Group Of The Fingerlakes Pllc 412 N Tioga St Ithaca NY 14850-4256 Ph: () - | Orthodontic Group Of The Fingerlakes Pllc 412 N Tioga St Ithaca NY 14850-4256 Ph: (607) 272-3921 |
NPI Number | 1851805964 |
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Provider Enumeration Date | 11/28/2017 |
Last Update Date | 03/17/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851805964 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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