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Organization
THOMAS R. SANGIACOMO DMD, PC
Active
Organization
THOMAS R. SANGIACOMO DMD, PC
Active
Other names
Cortland Oral Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ROBERT SANGIACOMO DMD (PRESIDENT)
(607) 753-0011
Entity
Organization
Contact information
Practice address
102 N MAIN ST, CORTLAND, NY 13045-1208
(607) 753-0011
(607) 753-0573
Mailing address
102 N MAIN ST, CORTLAND, NY 13045-1208
(607) 753-0011
(607) 753-0573
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
150341-1
NY
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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