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Organization

LITTLEJOHN & BARBI ORTHODONTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN E PERDICHO (FINANCIAL CORDINATOR)
(315) 539-9276
Entity
Organization

Contact information

Practice address
1203 WATERLOO GENEVA RD, WATERLOO, NY 13165-1201
(315) 539-9276
(315) 539-0353
Mailing address
1203 WATERLOO GENEVA RD, WATERLOO, NY 13165-1201
(315) 539-9276
(315) 539-0353

Taxonomy

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

Other

Enumeration date
09/18/2019
Last updated
09/18/2019
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