Organization
VITKUS, SCUTARI & CARDOSO ORAL SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PASQUALE SCUTARI JR. DDS (ORAL MAXILLOFACIAL SURGEON)
(315) 637-4476
Entity
Organization
Contact information
Practice address
4000 MEDICAL CENTER DRIVE, SUITE B13, FAYETTEVILLE, NY 13066-1537
(315) 671-4289
(315) 637-1261
Mailing address
4000 MEDICAL CENTER DRIVE, SUITE B13, FAYETTEVILLE, NY 13066-1537
(315) 671-4289
(315) 637-1261
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
045842-1
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
10/26/2006
Last updated
05/06/2024
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