Organization
ORTHODONTIC ASSOCIATES OF THE SOUTHERN TIER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD M. BELLOHUSEN DMD (PRESIDENT)
(607) 733-7163
Entity
Organization
Contact information
Practice address
440 E WATER ST, ELMIRA, NY 14901-3411
(607) 733-7163
(607) 737-6227
Mailing address
440 E WATER ST, ELMIRA, NY 14901-3411
(607) 733-7163
(607) 737-6227
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
033848
NY
Other
Enumeration date
07/03/2006
Last updated
08/22/2020
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