| Collegetown Family Dental | |
|
324 Dryden Rd. Ithaca NY 14850 | |
| (607) 272-2131 | |
| (607) 272-2132 |
| Full Name | Collegetown Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 324 Dryden Rd., Ithaca, New York |
| Authorized Official Name and Position | Kristna Kapur (OWNER) |
| Authorized Official Contact | 6072722131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collegetown Family Dental 324 Dryden Rd Ithaca NY 14850-4896 Ph: (607) 272-2131 | Collegetown Family Dental 324 Dryden Rd. Ithaca NY 14850 Ph: (607) 272-2131 |
| NPI Number | 1215200779 |
|---|---|
| Provider Enumeration Date | 02/14/2012 |
| Last Update Date | 02/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215200779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 044135 (New York) | Primary |
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