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Organization

ORAL AND IMPLANT SURGERY OF MANHATTAN, PLLC

Active
Other names
Infinity Oral Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHELE SHOSHANA BERGEN DMD, MD, FACS (SOLE MEMBER)
(212) 752-8600
Entity
Organization

Contact information

Practice address
18 E 48TH ST, SUITE 1502, NEW YORK, NY 10017-1014
(212) 752-8600
(203) 661-0155
Mailing address
455 W 23RD ST, APT. 17AB, NEW YORK, NY 10011-2148
(212) 752-8600
(203) 661-0155

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
231685
NY

Other

Enumeration date
02/03/2015
Last updated
02/03/2015
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