Organization
ORTHODONTIC GROUP OF THE FINGERLAKES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A PACIOREK DDS (PRESIDENT)
(607) 272-3921
Entity
Organization
Contact information
Practice address
412 N TIOGA ST, ITHACA, NY 14850-4256
(607) 272-3921
Mailing address
412 N TIOGA ST, ITHACA, NY 14850-4256
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/28/2017
Last updated
03/17/2018
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