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Organization
RICHARD FIESE ORAL & MAXILLOFACIAL SURGEON PC
Active
Organization
RICHARD FIESE ORAL & MAXILLOFACIAL SURGEON PC
Active
Other names
Dr D Langlois & Dr R Fiese Oral & Maxillofacial Surgeons PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD L FIESE DMD (PRESIDENT)
(315) 343-6160
Entity
Organization
Contact information
Practice address
105 CO RT 45A, SUITE 100, OSWEGO, NY 13126
(315) 343-6160
(315) 343-8556
Mailing address
105 CO RT 45A, SUITE 100, OSWEGO, NY 13126
(315) 343-6160
(315) 343-8556
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0407871
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01046088
—
NY
Enumeration date
08/14/2006
Last updated
08/22/2020
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