Organization
CAYUGA FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEERAJ GUPTA (BUSINESS MANAGER)
(607) 257-6600
Entity
Organization
Contact information
Practice address
2255 N TRIPHAMMER RD, SUITE 63, ITHACA, NY 14850-1576
(607) 257-6600
Mailing address
2255 N TRIPHAMMER RD, SUITE 63, ITHACA, NY 14850-1576
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/09/2007
Last updated
08/22/2020
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