| NPI | 1154529071 |
|---|---|
| Doing Business As | CORTLAND DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHELLE JACOMINO Director Of Payor Relations 770-916-5036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 21450) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2022-07-20 |