# SYRACUSE FAMILY DENTAL PLLC

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

## Provider details

- **NPI number:** 1306528708
- **Authorized official:** DR. ROBERT A LALOR DDS (MEMBER)
- **Authorized official phone:** (607) 743-8551

## Contact information

- **Practice address:** 3112 ERIE BLVD E, SYRACUSE, NY 13214-1202
- **Practice address phone:** (607) 953-4797
- **Mailing address:** 13 BEECH ST, JOHNSON CITY, NY 13790-1018
- **Mailing address phone:** (607) 953-4797

## Taxonomy

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

## Other

- **Enumeration date:** 08/04/2023
- **Last updated:** 08/16/2023