| NPI | 1992205801 |
|---|---|
| Doing Business As | GREAT OAK ORAL SURGERY AND DENTAL IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | SETH T FARREN Owner/Surgeon 518-682-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |