Organization
ALL COUNTY ORAL & MAXILLOFACIAL SURGERY LLP
Active
Organization
ALL COUNTY ORAL & MAXILLOFACIAL SURGERY LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSS O CHAVKIN D.D.S. (OWNER)
(631) 752-1033
Entity
Organization
Contact information
Practice address
115 BROADHOLLOW RD, SUITE 200, MELVILLE, NY 11747-4701
(631) 752-1033
(631) 752-1034
Mailing address
115 BROADHOLLOW RD STE 200, MELVILLE, NY 11747-4915
(631) 752-1033
(631) 752-1034
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/20/2008
Last updated
09/18/2019
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