Fall Creek Family Dentist

NPI #1356600233 in Ithaca, New York

Provider Information

NPI Number
1356600233
Entity Type
Organization
Organization Name
Fall Creek Family Dentist
Primary Specialty
Clinic/Center - Dental
Enumeration Date
May 11, 2012
Last Updated
May 11, 2012

Practice Location

Address
501 N CAYUGA ST
City
Ithaca
ZIP Code
14850-3670
Phone
(607) 272-8118

Authorized Official

Name
MS. KATHY KINNEY
Title
OFFICE MANAGER
Phone
(607) 272-8118

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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