Organization
LEWIS COUNTY ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARMIE WILEY (FINANCIAL COORDINATOR)
(315) 336-6380
Entity
Organization
Contact information
Practice address
91 LAKES RD STE 4, MONROE, NY 10950-2694
(845) 562-2063
Mailing address
306 W LIBERTY ST, ROME, NY 13440-5744
(845) 562-2063
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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