Organization
PROTZEL ORAL & MAXILLOFACIAL SURGERY, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER E PROTZEL DDS, MD (OWNER)
(516) 735-6505
Entity
Organization
Contact information
Practice address
4277 HEMPSTEAD TPKE, SUITE 214, BETHPAGE, NY 11714-5709
(516) 735-6505
(516) 735-3326
Mailing address
4277 HEMPSTEAD TPKE, SUITE 214, BETHPAGE, NY 11714-5709
(516) 735-6505
(516) 735-3326
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
047168
NY
Other
Enumeration date
09/24/2007
Last updated
03/13/2009
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