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Organization

ORAL SURGEONS ON CALL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTOINE PANOSSIAN M.D. D.M.D. (PRESIDENT)
(484) 550-6618
Entity
Organization

Contact information

Practice address
5240 MERRICK RD, MASSAPEQUA, NY 11758-6207
(484) 550-6618
Mailing address
5240 MERRICK RD, MASSAPEQUA, NY 11758-6207
(484) 550-6618

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
052799-1
NY

Other

Enumeration date
10/29/2013
Last updated
10/29/2013
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