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Organization
PROFESSIONAL ORAL SURGERY ALLIANCE OF DOWNSTATE NEW YORK PLLC
Active
Organization
PROFESSIONAL ORAL SURGERY ALLIANCE OF DOWNSTATE NEW YORK PLLC
Active
Other names
Yonkers Oral Surgery, Scarsdale Oral Surgery, New City Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA GRAHAM (CREDENTIALING)
(724) 698-2474
Entity
Organization
Contact information
Practice address
1075 CENTRAL PARK AVE STE 207, SCARSDALE, NY 10583-3250
(914) 472-5252
Mailing address
125 ENTERPRISE DR STE 200, PITTSBURGH, PA 15275-1223
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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