NPI | 1275620726 |
---|---|
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 |
Additional Taxonomies | 1223E0200X Dentist, Endodontics |
1223S0112X Dentist, Oral and Maxillofacial Surgery | |
Enumeration Date | 2006-10-06 |
Last Update Date | 2022-07-20 |