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Organization
ORAL SURGERY ASSOCIATES PC
Active
Organization
ORAL SURGERY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN VINCENT VECCHIONE DDS (CEO)
(201) 602-2763
Entity
Organization
Contact information
Practice address
335 LENOX AVE, NEW YORK, NY 10027-3703
(645) 585-1515
Mailing address
2 LORRAINE DR, PARK RIDGE, NJ 07656-1430
(201) 602-2763
(201) 391-4316
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
08/20/2021
Last updated
12/10/2021
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