NPI | 1336338995 |
---|---|
Doing Business As | CORTLAND ORAL SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | THOMAS ROBERT SANGIACOMO President 607-753-0011 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: NY 150341-1) |
Enumeration Date | 2007-10-19 |
Last Update Date | 2007-10-19 |