Upstate Oral Surgery and Dental Implants, Pllc

NPI #1952864548 in Watertown, New York

Provider Information

NPI Number: 1952864548
Entity Type: Organization
Organization Name: Upstate Oral Surgery and Dental Implants, Pllc
Primary Specialty: Oral & Maxillofacial Surgery
Enumeration Date: Apr 10, 2019
Last Updated: Apr 10, 2019

Practice Location

Address: 22632 SUMMIT DR STE B
City: Watertown
State: New York
ZIP Code: 13601-7233
Phone: (315) 405-4005

Authorized Official

Name: LOGAN RAND CURTIS, DDS
Title: DR
Phone: (910) 973-1754

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Oral & Maxillofacial Surgery	204E00000X	Primary

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