Individual
DR. JOHN ROBERT MACCAULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
120 E WASHINGTON ST, STE 101, SYRACUSE, NY 13202
(315) 422-0894
(315) 471-1577
Mailing address
120 E WASHINGTON ST, STE 101, SYRACUSE, NY 13202
(315) 422-0894
(315) 471-1577
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
030017
NY
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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