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1851419287
ST. LAWRENCE ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES PC
POTSDAM, NY
NPI
1851419287
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Entity Type
Organization
Authorized Contact
ERHARD A. BEUTTENMULLER
Secretary
315-265-1761
Organization Subpart ?
No
Primary Taxonomy
204E00000X Oral & Maxillofacial Surgery
Enumeration Date
2007-03-26
Last Update Date
2011-04-01
Business Address
ST. LAWRENCE ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES PC
22 DEPOT STREET MARKET SQUARE MALL SUITE 17
POTSDAM, NY 13676
Phone number: 315-265-1761
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Mailing Address
ST. LAWRENCE ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES PC
22 DEPOT STREET MARKET SQUARE MALL SUITE 17
POTSDAM, NY 13676-1140
Phone number: 315-265-1761
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