Organization
COMMACK ORAL AND MAXILLOFACIAL SURGEONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MILLER DDS (PRESIDENT)
(631) 499-7266
Entity
Organization
Contact information
Practice address
160 COMMACK RD, SUITE M1, COMMACK, NY 11725-3412
(631) 499-7266
(631) 499-7525
Mailing address
160 COMMACK RD, SUITE M1, COMMACK, NY 11725-3412
(631) 499-7266
(631) 499-7525
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
041250
NY
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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