# PALISADES ORAL SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376721746
- **Authorized official:** DR. VINCENT CARRAO DDS MD (OWNER)
- **Authorized official phone:** (201) 585-8282

## Contact information

- **Practice address:** 1530 PALISADE AVE, FORT LEE, NJ 07024-5471
- **Practice address phone:** (201) 585-8282
- **Practice address fax:** (201) 585-0805
- **Mailing address:** 1530 PALISADE AVE, FORT LEE, NJ 07024-5471
- **Mailing address phone:** (201) 585-8282
- **Mailing address fax:** (201) 585-0805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DI20747 | NJ | Yes |

## Other

- **Enumeration date:** 02/07/2008
- **Last updated:** 02/07/2008