Organization
SUFFOLK ORAL SURGERY ASSOCIATES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA JONKE (ADMINISTRATOR)
(631) 273-4888
Entity
Organization
Contact information
Practice address
601 SUFFOLK AVE, SUITE 2, BRENTWOOD, NY 11717-4309
(631) 273-4888
(631) 273-2398
Mailing address
601 SUFFOLK AVE, SUITE 2, BRENTWOOD, NY 11717-4309
(631) 273-4888
(631) 273-2398
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
024719
NY
Other
Enumeration date
06/03/2006
Last updated
04/01/2009
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