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Individual

JOHN D. CALLAHAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
300 S MANLIUS ST, FAYETTEVILLE, NY 13066-2041
(315) 663-0295
Mailing address
300 S MANLIUS ST, FAYETTEVILLE, NY 13066-2041
(315) 663-0295

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0365091
NY

Other

Enumeration date
02/27/2007
Last updated
07/08/2007
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