Organization
MANHATTAN MAXILLOFACIAL SURGERY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO L DEL VALLE DMD, MD (ORAL AND MAXILLOFACIAL SURGEON)
(212) 245-5801
Entity
Organization
Contact information
Practice address
45 W 54TH ST, SUITE 1E, NEW YORK, NY 10019-5404
(212) 245-5801
(212) 977-9486
Mailing address
45 W 54TH ST, SUITE 1E, NEW YORK, NY 10019-5404
(212) 245-5801
(212) 977-9486
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
048825-1
NY
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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