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Organization
OTEGO FAMILY DENTAL P.C.
Active
Organization
OTEGO FAMILY DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY T KNOX DDS (PRESIDENT/OWNER/DENTIST)
(607) 988-6555
Entity
Organization
Contact information
Practice address
374 MAIN STREET, OTEGO, NY 13825
(607) 988-6555
(607) 988-2761
Mailing address
PO BOX 334, OTEGO, NY 13825-0334
(607) 988-6555
(607) 988-2761
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
051023
NY
Other
Enumeration date
09/02/2010
Last updated
08/21/2018
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