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Organization
PLATTSBURGH ORAL SURGERY PC
Active
Organization
PLATTSBURGH ORAL SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY WILLIAM RAY DDS FRCD(C) (ORAL SURGEON)
(518) 562-1020
Entity
Organization
Contact information
Practice address
8 AMPERSAND DR, PLATTSBURGH, NY 12901-6500
(518) 562-1020
(518) 562-1022
Mailing address
8 AMPERSAND DRIVE, PLATTSBURGH, NY 12901
(518) 562-1020
(518) 562-1022
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
056610
NY
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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