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1558403618
CHARLES JOHN DICOSIMO
SYRACUSE, NY
NPI
1558403618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: NY 032746)
Enumeration Date
2007-02-13
Last Update Date
2007-07-08
Business Address
Dr. CHARLES JOHN DICOSIMO D.D.S.
407 UNIVERSITY AVE SUITE 103
SYRACUSE, NY 13210-1866
Phone number: 315-472-4514
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Mailing Address
Dr. CHARLES JOHN DICOSIMO D.D.S.
8415 HOBNAIL RD
MANLIUS, NY 13104-9332
Phone number: 315-682-2622
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