Organization
ASPEN DENTAL OF CENTRAL NEW YORK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISAM F HAMATI DDS (MANAGING MEMBER)
(315) 455-2411
Entity
Organization
Contact information
Practice address
124 NORTHERN LIGHTS DR, SYRACUSE, NY 13212-4108
(315) 454-2411
(315) 455-2412
Mailing address
281 SANDERS CREEK PKWY, EAST SYRACUSE, NY 13057-1307
(315) 454-6000
(315) 454-8650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047142-1
NY
Other
Enumeration date
10/30/2009
Last updated
11/06/2009
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