Organization
PALISADES ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT CARRAO DDS MD (OWNER)
(201) 585-8282
Entity
Organization
Contact information
Practice address
1530 PALISADE AVE, FORT LEE, NJ 07024-5471
(201) 585-8282
(201) 585-0805
Mailing address
1530 PALISADE AVE, FORT LEE, NJ 07024-5471
(201) 585-8282
(201) 585-0805
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DI20747
NJ
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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