NPI | 1891007670 |
---|---|
Doing Business As | WOODBURY ORAL SURGERY |
Entity Type | Organization |
Authorized Contact | SLAVA SHAPIRO Owner 516-677-9777 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 049812) |
Enumeration Date | 2010-07-08 |
Last Update Date | 2010-07-08 |