# YOUR SYRACUSE FAMILY DENTIST P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275367765
- **Authorized official:** DR. JOSEPH MELUNI DDS (PARTNER/DENTIST)
- **Authorized official phone:** (315) 477-9960

## Contact information

- **Practice address:** 4627 ONONDAGA BLVD, SYRACUSE, NY 13219-3301
- **Practice address phone:** (315) 477-9960
- **Mailing address:** 4627 ONONDAGA BLVD, SYRACUSE, NY 13219-3301
- **Mailing address phone:** (315) 477-9960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/28/2024
- **Last updated:** 08/28/2024