Organization
PARKCHESTER ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES P.C.
Active
Organization
PARKCHESTER ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARLON MOORE DMD (PRESIDENT)
(718) 828-6200
Entity
Organization
Contact information
Practice address
1332 METROPOLITAN AVE, BRONX, NY 10462-7978
(728) 828-6200
(718) 828-0284
Mailing address
1332 METROPOLITAN AVE, BRONX, NY 10462-7978
(728) 828-6200
(718) 828-0284
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
045968
NY
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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