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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