| Fall Creek Family Dentistry | |
|
501 N Cayuga St Ithaca NY 14850-3670 | |
| (607) 272-8118 | |
| (607) 272-4114 |
| Full Name | Fall Creek Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 501 N Cayuga St, Ithaca, New York |
| Authorized Official Name and Position | Luis Thelmo Mauleon (PRESIDENT) |
| Authorized Official Contact | 6072728118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fall Creek Family Dentistry 501 N Cayuga St Ithaca NY 14850-3670 Ph: (607) 272-8118 | Fall Creek Family Dentistry 501 N Cayuga St Ithaca NY 14850-3670 Ph: (607) 272-8118 |
| NPI Number | 1548304983 |
|---|---|
| Provider Enumeration Date | 02/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548304983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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