Organization
SACHEM ORAL SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER MATTHEW AMENEDO D.D.S. (OWNER)
(631) 382-8585
Entity
Organization
Contact information
Practice address
110 SMITHTOWN BLVD, NESCONSET, NY 11767-1748
(631) 382-8585
(631) 382-8580
Mailing address
110 SMITHTOWN BLVD, NESCONSET, NY 11767-1748
(631) 382-8585
(631) 382-8580
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
050522
NY
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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