Individual
MRS. MELODY LYNN ORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
90 PRESIDENTIAL PLZ, SYRACUSE, NY 13202-2240
(315) 464-5256
Mailing address
257 DISTIN RD, OSWEGO, NY 13126-6459
(315) 598-4673
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
013214
NY
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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