GREAT LAKES ORAL SURGERY, P.C.
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1174858419- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 633 W. 3RD ST. S., FULTON, NY, 13069
- Phone
- (315) 343-6160
- Fax
- (315) 343-8556
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Dentist, Oral and Maxillofacial Surgery
Primary License: NY #051594