Organization
ORAL & MAXILLOFACIAL SURGERY OF QUEENS, LLC
Active
Organization
ORAL & MAXILLOFACIAL SURGERY OF QUEENS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIAN SADEGHI DDS (OWNER)
(347) 579-5159
Entity
Organization
Contact information
Practice address
8201 ROOSEVELT AVENUE, 2ND FLOOR, JACKSON HEIGHTS, NY 11372
(718) 844-9903
(347) 436-9569
Mailing address
8201 ROOSEVELT AVENUE, 2ND FLOOR, JACKSON HEIGHTS, NY 11372
(718) 844-9903
(347) 436-9569
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NY
Other
Enumeration date
01/08/2015
Last updated
06/04/2019
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