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Organization

ASPEN DENTAL OF CENTRAL NEW YORK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ISAM HAMATI (MCD)
(315) 454-6000
Entity
Organization

Contact information

Practice address
124 NORTHERN LIGHTS DR, N SYRACUSE, NY 13212-4108
(315) 454-6000
Mailing address
124 NORTHERN LIGHTS DR, N SYRACUSE, NY 13212-4108
(315) 455-2411

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
04/19/2007
Last updated
08/22/2020
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