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Oral and Maxillofacial Surgery (Dentist) · FLUSHING, NY

Organization Active NPI 1487447298

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral and Maxillofacial Surgery (Dentist)1223S0112X
Ambulatory Surgical Clinic/Center261QA1903X
Multi-Specialty Clinic/Center261QM1300X
Customized Equipment (DME)332BC3200X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.