St Lawerence Oral and Maxilliofacial Surgery

NPI #1710079371 in Potsdam, New York

Provider Information

NPI Number
1710079371
Entity Type
Organization
Organization Name
St Lawerence Oral and Maxilliofacial Surgery
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Sep 29, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
6604 STATE HIGHWAY 56
ZIP Code
13676
Phone
(315) 265-1761

Authorized Official

Name
ERHART A BEUTTENMULLER, DDS
Title
SECRETARY
Phone
(315) 265-1761

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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