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Organization
KRISTNA KAPUR, DDS & LUIS T MAULEON JR, DDS, PC
Active
Organization
KRISTNA KAPUR, DDS & LUIS T MAULEON JR, DDS, PC
Active
Other names
Fall Creek Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS THELMO MAULEON JR. D.D.S. (PRESIDENT)
(607) 272-8118
Entity
Organization
Contact information
Practice address
501 N CAYUGA ST, ITHACA, NY 14850-3670
(607) 272-8118
(607) 272-4114
Mailing address
501 N CAYUGA ST, ITHACA, NY 14850-3670
(607) 272-8118
(607) 272-4114
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/19/2007
Last updated
08/22/2020
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