| Msc Oral Surgery Pc | |
|
1468 Madison Avenue Annenberg Building 2nd Floor New York NY 10029 | |
| (920) 312-1833 | |
| Not Available |
| Full Name | Msc Oral Surgery Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1468 Madison Avenue, New York, New York |
| Authorized Official Name and Position | Matthew Clark (OWNER) |
| Authorized Official Contact | 9203121833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Msc Oral Surgery Pc 19 Pine Ln Cortlandt Manor NY 10567-5903 Ph: (920) 312-1833 | Msc Oral Surgery Pc 1468 Madison Avenue Annenberg Building 2nd Floor New York NY 10029 Ph: (920) 312-1833 |
| NPI Number | 1679003255 |
|---|---|
| Provider Enumeration Date | 06/15/2017 |
| Last Update Date | 06/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679003255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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