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1710060223
LONG ISLAND ORAL & MAXILLOFACIAL SURGERY, PC
PORT WASHINGTON, NY
NPI
1710060223
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Entity Type
Organization
Authorized Contact
DEBRA MCQUILLAN
Manager
516-294-9696
Organization Subpart ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
Enumeration Date
2006-10-20
Last Update Date
2008-01-11
Business Address
LONG ISLAND ORAL & MAXILLOFACIAL SURGERY, PC
14 VANDERVENTER AVE STE 260
PORT WASHINGTON, NY 11050-3737
Phone number: 516-944-8330
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Mailing Address
LONG ISLAND ORAL & MAXILLOFACIAL SURGERY, PC
14 VANDERVENTER AVE STE 260
PORT WASHINGTON, NY 11050-3737
Phone number: 516-944-8330
Copy
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