Organization
THOMAS R. SANGIACOMO DMD, PC
Active
Other names
Cortland Oral Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ROBERT SANGIACOMO DMD (PRESIDENT)
(607) 753-0011
Entity
Organization
Contact information
Practice address
102 N MAIN ST, CORTLAND, NY 13045-1208
(607) 753-0011
(607) 753-0573
Mailing address
102 N MAIN ST, CORTLAND, NY 13045-1208
(607) 753-0011
(607) 753-0573
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
150341-1
NY
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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