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Organization
OMS NEW YORK ORAL SURGERY PC
Active
Organization
OMS NEW YORK ORAL SURGERY PC
Active
Other names
OMS New York Oral Surgery PC
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN GLIED DDS (OWNER)
(917) 364-3854
Entity
Organization
Contact information
Practice address
501 MADISON AVE FL 18, NEW YORK, NY 10022-5613
(212) 308-9200
Mailing address
501 MADISON AVE FL 18, NEW YORK, NY 10022-5613
(917) 364-3854
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
08/23/2022
Last updated
08/23/2022
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