Organization
COURT STREET DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L HECK (PRESIDENT)
(607) 342-5456
Entity
Organization
Contact information
Practice address
310 E COURT ST, ITHACA, NY 14850-4221
(607) 272-2033
(607) 272-3757
Mailing address
310 E COURT ST, ITHACA, NY 14850-4221
(607) 342-5456
(607) 272-3757
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2006
Last updated
08/22/2020
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