Richard Fiese Oral & Maxillofacial Surgeon PC

NPI #1801809793 in Oswego, New York

Provider Information

NPI Number
1801809793
Entity Type
Organization
Organization Name
Richard Fiese Oral & Maxillofacial Surgeon PC
Primary Specialty
Dentist
Enumeration Date
Aug 14, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
105 CO RT 45A
Address 2
SUITE 100
City
Oswego
ZIP Code
13126
Phone
(315) 343-6160

Authorized Official

Name
DR. RICHARD L FIESE, DMD
Title
PRESIDENT
Phone
(315) 343-6160

Specialties & Taxonomy Codes

Specialty
Dentist

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