Organization
WHITESTONE ORAL & MAXILLOFACIAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIAN SADEGHI (SURGEON)
(347) 579-5159
Entity
Organization
Contact information
Practice address
150-43C 14TH AVENUE, WHITESTONE, NY 11357
(718) 747-7899
(347) 436-9569
Mailing address
150-43C 14TH AVENUE, WHITESTONE, NY 11357
(718) 747-7899
(347) 436-9569
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
051861
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
053277
NY
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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