| Catskill Oral Surgery Pc | |
|
457 Broadway Ste 17 Monticello NY 12701-1758 | |
| (845) 791-7360 | |
| (845) 791-7580 |
| Full Name | Catskill Oral Surgery Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 457 Broadway, Monticello, New York |
| Authorized Official Name and Position | Karl E Krause (OWNER) |
| Authorized Official Contact | 8457917360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catskill Oral Surgery Pc 457 Broadway Ste 17 Monticello NY 12701-1758 Ph: (845) 791-7360 | Catskill Oral Surgery Pc 457 Broadway Ste 17 Monticello NY 12701-1758 Ph: (845) 791-7360 |
| NPI Number | 1689845455 |
|---|---|
| Provider Enumeration Date | 03/19/2008 |
| Last Update Date | 03/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689845455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 051974 (New York) | Primary |
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