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Organization
ORAL SURGEONS ON CALL PC
Active
Organization
ORAL SURGEONS ON CALL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTOINE PANOSSIAN M.D. D.M.D. (PRESIDENT)
(484) 550-6618
Entity
Organization
Contact information
Practice address
5240 MERRICK RD, MASSAPEQUA, NY 11758-6207
(484) 550-6618
Mailing address
5240 MERRICK RD, MASSAPEQUA, NY 11758-6207
(484) 550-6618
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
052799-1
NY
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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