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1912080417
LONG ISLAND ORAL & MAXILLOFACIAL SURGERY, PC
MINEOLA, NY
NPI
1912080417
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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
134 MINEOLA BLVD. 3 FLOOR
MINEOLA, NY 11501
Phone number: 516-294-9696
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Mailing Address
LONG ISLAND ORAL & MAXILLOFACIAL SURGERY, PC
134 MINEOLA BLVD. 3 FLOOR
MINEOLA, NY 11501
Phone number: 516-294-9696
Copy
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