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Organization
MASSAPEQUA ORAL & MAXILLOFACIAL ASSOCIATES LLP
Active
Organization
MASSAPEQUA ORAL & MAXILLOFACIAL ASSOCIATES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER LOUIS SCHARFENBERGER DDS (PRESIDENT)
(516) 798-4143
Entity
Organization
Contact information
Practice address
4770 SUNRISE HWY, SUITE 201, MASSAPEQUA PARK, NY 11762-2911
(516) 798-4143
(516) 798-4296
Mailing address
4770 SUNRISE HWY, SUITE 201, MASSAPEQUA PARK, NY 11762-2911
(516) 798-4143
(516) 798-4296
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
08/18/2006
Last updated
03/25/2009
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