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Individual

DR. EDMOND JOSEPH ORMOND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
22 DEPOT ST, MARKET SQUARE MALL, POTSDAM, NY 13676-1140
(315) 265-9320
(315) 265-5903
Mailing address
22 DEPOT ST, MARKET SQUARE MALL, POTSDAM, NY 13676-1140
(315) 265-9320
(315) 265-5903

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
036684-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01391533
NY
Enumeration date
11/09/2006
Last updated
07/09/2007
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