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Organization
TRUMANSBURG FAMILY DENTISTRY
Active
Organization
TRUMANSBURG FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA HICKOK (SECRETARY)
(315) 771-9532
Entity
Organization
Contact information
Practice address
50 E. MAIN ST, TRUMANSBURG, NY 14886
(607) 387-7821
(607) 387-9893
Mailing address
PO BOX 446, 50 E. MAIN ST, TRUMANSBURG, NY 14886-0446
(607) 387-7821
(607) 387-9893
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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