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Organization
ORAL SURGEONS ASSOCIATES, P.C
Active
Organization
ORAL SURGEONS ASSOCIATES, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN R RISSOLO D.M.D (PRESIDENT)
(203) 853-0500
Entity
Organization
Contact information
Practice address
10 MOTT AVE, NORWALK, CT 06850-3320
(203) 853-0500
(203) 853-0501
Mailing address
10 MOTT AVE, NORWALK, CT 06850-3320
(203) 853-0500
(203) 853-0501
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
12/17/2007
Last updated
12/17/2007
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