| Oral And Maxillofacial Surgery Of Queens | |
|
3775 103rd St Corona NY 11368-1979 | |
| (718) 565-5005 | |
| Not Available |
| Full Name | Oral And Maxillofacial Surgery Of Queens |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3775 103rd St, Corona, New York |
| Authorized Official Name and Position | Arian Sadeghi (MANAGER) |
| Authorized Official Contact | 7185655005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral And Maxillofacial Surgery Of Queens 3775 103rd St Corona NY 11368-1979 Ph: () - | Oral And Maxillofacial Surgery Of Queens 3775 103rd St Corona NY 11368-1979 Ph: (718) 565-5005 |
| NPI Number | 1487935391 |
|---|---|
| Provider Enumeration Date | 09/06/2011 |
| Last Update Date | 09/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487935391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 051861 (New York) | Primary |
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