Long Island Oral & Maxillofacial Surgery, PC
NPI #1912080417 in Mineola, New York
Provider Information
- NPI Number
- 1912080417
- Entity Type
- Organization
- Organization Name
- Long Island Oral & Maxillofacial Surgery, PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LONG ISLAND ORAL & MAXILLOFACIAL SURGERY, PC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Oct 20, 2006
- Last Updated
- Jan 11, 2008
Practice Location
Authorized Official
- Name
- MRS. DEBRA MCQUILLAN
- Title
- MANAGER
- Phone
- (516) 294-9696
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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