Organization
ORTHODONTIC ASSOCIATES OF THE SOUTHERN TIER P.C.
Active
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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