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Organization
MOUNT KISCO ORAL SURGERY PLLC
Active
Organization
MOUNT KISCO ORAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW HOROWITZ (OWNER)
(917) 710-1917
Entity
Organization
Contact information
Practice address
103 S BEDFORD RD STE 205, MOUNT KISCO, NY 10549-3453
(914) 689-7550
Mailing address
103 S BEDFORD RD STE 205, MOUNT KISCO, NY 10549-3453
(914) 689-7550
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
10/20/2022
Last updated
10/20/2022
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