Organization
SOUTHERN TIER ORTHODONTICS PC
Active
Organization
SOUTHERN TIER ORTHODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON T HORN DDS (OWNER/ORTHODONTIST)
(917) 880-1613
Entity
Organization
Contact information
Practice address
440 E WATER ST, ELMIRA, NY 14901-3411
(607) 733-7163
Mailing address
51 W 86TH ST APT 301, NEW YORK, NY 10024-3617
(917) 880-1613
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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