| NPI | 1982873709 |
|---|---|
| Former Legal Business Name | ADVANCED ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | SCOTT ALLAN COHEN President/Owner 973-627-6006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 067896) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2013-09-19 |