St. Lawrence Oral and Maxillofacial Surgery Associates PC

NPI #1851419287 in Potsdam, New York

Provider Information

NPI Number
1851419287
Entity Type
Organization
Organization Name
St. Lawrence Oral and Maxillofacial Surgery Associates PC
Primary Specialty
Oral & Maxillofacial Surgery
Enumeration Date
Mar 26, 2007
Last Updated
Apr 1, 2011

Practice Location

Address
22 DEPOT STREET
Address 2
MARKET SQUARE MALL SUITE 17
ZIP Code
13676
Phone
(315) 265-1761

Authorized Official

Name
DR. ERHARD A. BEUTTENMULLER, DDS
Title
SECRETARY
Phone
(315) 265-1761

Specialties & Taxonomy Codes

Specialty
Oral & Maxillofacial Surgery

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