Individual
DR. GISELLA MORTELLITI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8481 WOODBOX RD, MANLIUS, NY 13104-9420
(315) 469-6499
Mailing address
8481 WOODBOX RD, MANLIUS, NY 13104-9420
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
041604
NY
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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