Carmine L Tiso, DDS

NPI #1174652994 in Clarence, New York

Provider Information

NPI Number: 1174652994
Entity Type: Individual
Name: Carmine L Tiso, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Mar 5, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 9530 MAIN ST
City: Clarence
State: New York
ZIP Code: 14031
Phone: (716) 759-2255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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