Acaht Idental PC

NPI #1366813313 in Ithaca, New York

Provider Information

NPI Number
1366813313
Entity Type
Organization
Organization Name
Acaht Idental PC
Primary Specialty
Dentist
Enumeration Date
Oct 16, 2015
Last Updated
Oct 16, 2015

Practice Location

Address
523 W CLINTON ST
City
Ithaca
ZIP Code
14850-5233
Phone
(607) 272-2081

Authorized Official

Name
DR. BETSY L. PETERSON, D.M.D.
Title
DR/VICE PRESIDENT
Phone
(607) 272-2081

Specialties & Taxonomy Codes

Specialty
Dentist

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