Organization
CAPITAL DISTRICT ORAL & MAXILLOFACIAL SURGEONS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAT PANUCCI (PRACTICE MANAGER)
(518) 445-2505
Entity
Organization
Contact information
Practice address
7 SOUTHWOODS BLVD, ALBANY, NY 12211-2526
(518) 445-2505
(518) 445-2508
Mailing address
7 SOUTHWOODS BLVD, ALBANY, NY 12211-2526
(518) 445-2505
(518) 445-2508
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
02/29/2008
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