Organization
PARAMOUNT ORAL SURGERY AND DENTAL IMPLANT CENTER, LLC
Active
Other names
Paramount Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL P SULLIVAN DDS (OWNER)
(908) 222-7922
Entity
Organization
Contact information
Practice address
201 EDWARD CURRY AVE, SUITE 101, STATEN ISLAND, NY 10314-7105
(908) 222-7922
Mailing address
201 EDWARD CURRY AVE, SUITE 101, STATEN ISLAND, NY 10314-7105
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
047368-1
NY
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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