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Organization
UPSTATE ORAL SURGERY AND DENTAL IMPLANTS, PLLC
Active
Organization
UPSTATE ORAL SURGERY AND DENTAL IMPLANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOGAN RAND CURTIS DDS (DR)
(910) 973-1754
Entity
Organization
Contact information
Practice address
22632 SUMMIT DR STE B, WATERTOWN, NY 13601-7233
(315) 405-4005
Mailing address
22632 SUMMIT DR STE B, WATERTOWN, NY 13601-7233
(315) 405-4005
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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