EASTSIDE ORAL SURGERY
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1427382563- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 231 E 106TH ST, NEW YORK, NY, 100294005
- Phone
- (212) 348-0020
- Fax
- (646) 219-2039
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: NY #047259