Organization
PROFESSIONAL ORAL SURGERY ALLIANCE OF DOWNSTATE NEW YORK PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA GRAHAM (CREDENTIALING)
(724) 698-2474
Entity
Organization
Contact information
Practice address
1075 CENTRAL PARK AVE, SUITE 207, SCARSDALE, NY 10583-3242
(914) 472-5252
(914) 722-5987
Mailing address
125 ENTERPRISE DR STE 200, PITTSBURGH, PA 15275-1223
(724) 698-2500
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/13/2008
Last updated
12/10/2024
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