| NPI | 1871231050 |
|---|---|
| Doing Business As | LEADING EDGE ORAL SURGERY BAY SHORE |
| Entity Type | Organization |
| Authorized Contact | HIRO SORIANO CIO 516-344-5746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2022-05-26 |