| Cicero Family Dentistry | |
|
6221 Rt 31 Ste 102 Cicero NY 13039 | |
| (315) 699-1919 | |
| Not Available |
| Full Name | Cicero Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 6221 Rt 31 Ste 102, Cicero, New York |
| Authorized Official Name and Position | Jennifer Lonnen (PRESIDENT) |
| Authorized Official Contact | 3156991919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cicero Family Dentistry 6221 Rt 31 Ste 102 Cicero NY 13039 Ph: (315) 699-1919 | Cicero Family Dentistry 6221 Rt 31 Ste 102 Cicero NY 13039 Ph: (315) 699-1919 |
| NPI Number | 1356837512 |
|---|---|
| Provider Enumeration Date | 07/10/2018 |
| Last Update Date | 07/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356837512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 058612 (New York) | Primary |
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