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Organization
NORTH SHORE IMPLANT &ORAL SURGERY ASSOCIATES PC
Active
Organization
NORTH SHORE IMPLANT &ORAL SURGERY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA M MILIN (OFFICE MGR)
(631) 427-7373
Entity
Organization
Contact information
Practice address
790 NEW YORK AVE, SUITE 100, HUNTINGTON, NY 11743-4499
(631) 427-7373
(631) 673-6299
Mailing address
790 NEW YORK AVE, SUITE 100, HUNTINGTON, NY 11743-4499
(631) 427-7373
(631) 673-6299
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
04/23/2007
Last updated
04/20/2009
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