| 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 |