| NPI | 1508195975 |
|---|---|
| Doing Business As | PROGRESSIVE ORAL SURGERY OF LONG ISLAND |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L DAVILA Office Manager 516-741-4415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 048692) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2016-01-13 |