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1366813313
ACAHT IDENTAL PC
ITHACA, NY
NPI
1366813313
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Entity Type
Organization
Authorized Contact
BETSY L. PETERSON
Dr/Vice President
607-272-2081
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2015-10-16
Last Update Date
2015-10-16
Business Address
ACAHT IDENTAL PC
523 W CLINTON ST
ITHACA, NY 14850-5233
Phone number: 607-272-2081
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Mailing Address
ACAHT IDENTAL PC
523 W CLINTON ST
ITHACA, NY 14850-5233
Phone number: 607-272-2081
Copy
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