Organization
COLLEGETOWN FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTNA KAPUR DDS (OWNER)
(607) 272-2131
Entity
Organization
Contact information
Practice address
324 DRYDEN RD., ITHACA, NY 14850
(607) 272-2131
(607) 272-2132
Mailing address
324 DRYDEN RD, ITHACA, NY 14850-4896
(607) 272-2131
(607) 272-2132
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
044135
NY
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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