Organization
PEAK DENTAL P.C.
Active
Other names
Northern Lights Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MARIE LAFFERTY (SUPERVISIOR)
(315) 283-0857
Entity
Organization
Contact information
Practice address
124 NORTHERN LIGHTS DR, NORTH SYRACUSE, NY 13212-4113
(315) 299-5777
(315) 802-2786
Mailing address
124 NORTHERN LIGHTS DR, NORTH SYRACUSE, NY 13212-4113
(315) 299-5777
(315) 802-2786
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
051614
NY
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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