Associates in Oral and Maxillofacial , Surgery

NPI #1316075583 in Endicott, New York

Provider Information

NPI Number
1316075583
Entity Type
Organization
Organization Name
Associates in Oral and Maxillofacial , Surgery
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Mar 1, 2007
Last Updated
Feb 11, 2008

Practice Location

Address
1003 MONROE ST
ZIP Code
13760-5221
Phone
(607) 757-0455

Authorized Official

Name
RANDOLPH A HOLLY, DDS
Title
OWNER
Phone
(607) 757-0455

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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