Organization
CAZENOVIA CREEKSIDE DENTAL, PLLC
Active
Parent organization
LALOR DENTISTRY, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LALOR DENTISTRY, PC
Authorized official
DR. ROBERT A. LALOR DDS (PRESIDENT)
(607) 754-2217
Entity
Organization
Contact information
Practice address
4 CHENANGO ST, CAZENOVIA, NY 13035-1400
(315) 655-5885
Mailing address
2521 VESTAL PKWY W, VESTAL, NY 13850-1056
(607) 754-2217
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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