NPI | 1063802627 |
---|---|
Doing Business As | INFINITY ORAL SURGERY |
Entity Type | Organization |
Authorized Contact | MICHELE SHOSHANA BERGEN Sole Member 212-752-8600 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: NY 231685) |
Enumeration Date | 2015-02-03 |
Last Update Date | 2015-02-03 |