| NPI | 1497038608 |
|---|---|
| Doing Business As | ADVANCED BRONX ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | ALEXANDER MUSHEYEV Director 718-292-6209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |