| NPI | 1356837512 |
|---|---|
| Doing Business As | CICERO FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LONNEN President 315-699-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 058612) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |