Advanced Oral Surgery | |
47 Mamaroneck Ave White Plains NY 10601-4215 | |
(914) 997-0566 | |
Not Available |
Full Name | Advanced Oral Surgery |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 47 Mamaroneck Ave, White Plains, New York |
Authorized Official Name and Position | Mara Rosenberg (MANAGER) |
Authorized Official Contact | 6463208247 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Advanced Oral Surgery 47 Mamaroneck Ave White Plains NY 10601-4215 Ph: (914) 997-0566 | Advanced Oral Surgery 47 Mamaroneck Ave White Plains NY 10601-4215 Ph: (914) 997-0566 |
NPI Number | 1598181604 |
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Provider Enumeration Date | 03/13/2014 |
Last Update Date | 03/13/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598181604 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 031496 (New York) | Primary |
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