Collegetown Family Dental

NPI #1215200779 in Ithaca, New York

Provider Information

NPI Number: 1215200779
Entity Type: Organization
Organization Name: Collegetown Family Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 14, 2012
Last Updated: Feb 14, 2012

Practice Location

Address: 324 DRYDEN RD.
City: Ithaca
State: New York
ZIP Code: 14850
Phone: (607) 272-2131

Authorized Official

Name: DR. KRISTNA KAPUR, DDS
Title: OWNER
Phone: (607) 272-2131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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