Individual
AJAY PAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
4281 N HOMER AVE, CORTLAND, NY 13045-1018
(607) 753-1355
Mailing address
4281 N HOMER AVE, CORTLAND, NY 13045-1018
(607) 753-1355
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
034901
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00563942
—
NY
Enumeration date
07/16/2006
Last updated
07/08/2007
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