Organization
KINGS HIGHWAY ORAL & MAXILLOFACIAL SURGERY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAAR AMRANI DMD, MD (CEO)
(718) 576-6999
Entity
Organization
Contact information
Practice address
1610 E 19TH ST, BROOKLYN, NY 11229-1302
(718) 576-6999
(718) 576-6996
Mailing address
1610 E 19TH ST, BROOKLYN, NY 11229-1302
(718) 576-6999
(718) 576-6996
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
054408
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03172658
—
NY
Enumeration date
10/27/2011
Last updated
10/27/2011
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