| NPI | 1578163408 |
|---|---|
| Doing Business As | PREMIER CARE ORAL SURGERY MASSAPEQUA |
| Entity Type | Organization |
| Authorized Contact | HIRO SORIANO CIO 516-344-5746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |