| Acaht Idental Pc | |
|
523 W Clinton St Ithaca NY 14850-5233 | |
| (607) 272-2081 | |
| Not Available |
| Full Name | Acaht Idental Pc |
|---|---|
| Speciality | Dentist |
| Location | 523 W Clinton St, Ithaca, New York |
| Authorized Official Name and Position | Betsy L. Peterson (DR/VICE PRESIDENT) |
| Authorized Official Contact | 6072722081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acaht Idental Pc 523 W Clinton St Ithaca NY 14850-5233 Ph: (607) 272-2081 | Acaht Idental Pc 523 W Clinton St Ithaca NY 14850-5233 Ph: (607) 272-2081 |
| NPI Number | 1366813313 |
|---|---|
| Provider Enumeration Date | 10/16/2015 |
| Last Update Date | 10/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366813313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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