Organization
PARAMOUNT ORAL SURGERY AND DENTAL IMPLANT CENTER, LLC
Active
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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