Fayetteville-Manlius Oral Surgery, P.c

NPI #1649848458 in Manlius, New York

Provider Information

NPI Number
1649848458
Entity Type
Organization
Organization Name
Fayetteville-Manlius Oral Surgery, P.c
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Jun 16, 2021
Last Updated
Jun 16, 2021

Practice Location

Address
8240 CAZENOVIA RD STE 60
ZIP Code
13104-8814
Phone
(315) 692-0449

Authorized Official

Name
DR. EDIOUS KWAIPA ELLIOT, DMD
Title
PRESIDENT
Phone
(315) 692-0449

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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