South Bergen Oral Surgery PA

NPI #1699833566 in Lyndhurst, New Jersey

Provider Information

NPI Number
1699833566
Entity Type
Organization
Organization Name
South Bergen Oral Surgery PA
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Dec 4, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
422 STUYVESANT AVE
ZIP Code
07071
Phone
(201) 935-4577

Authorized Official

Name
DR. JAMES P DILASCIO, DDS
Title
PRESIDENT SO BERGEN ORAL SURGERY PA
Phone
(201) 935-4577

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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Provider Name
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