Individual
DR. LEO R CACCIOTTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 E BUFFALO ST, 204, ITHACA, NY 14850-4258
(607) 277-5498
Mailing address
303 SAINT CATHERINES CIR, ITHACA, NY 14850-1724
(607) 257-4457
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
026328
NY
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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