| Palisades Oral Surgery | |
|
1530 Palisade Ave Fort Lee NJ 07024-5471 | |
| (201) 585-8282 | |
| (201) 585-0805 |
| Full Name | Palisades Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1530 Palisade Ave, Fort Lee, New Jersey |
| Authorized Official Name and Position | Vincent Carrao (OWNER) |
| Authorized Official Contact | 2015858282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palisades Oral Surgery 1530 Palisade Ave Fort Lee NJ 07024-5471 Ph: (201) 585-8282 | Palisades Oral Surgery 1530 Palisade Ave Fort Lee NJ 07024-5471 Ph: (201) 585-8282 |
| NPI Number | 1376721746 |
|---|---|
| Provider Enumeration Date | 02/07/2008 |
| Last Update Date | 02/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376721746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DI20747 (New Jersey) | Primary |
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