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Organization

PROFESSIONAL ORAL SURGERY ALLIANCE OF UPSTATE NEW YORK, PLLC

Active
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Organization

PROFESSIONAL ORAL SURGERY ALLIANCE OF UPSTATE NEW YORK, PLLC

Active
Other names
Oral & Maxillofacial Surgery Associates of WNY Olean, Oral & Maxillofacial Surgery Associates of WNY West Seneca, Oral & Maxillofacial Surgery Associates of WNY Depew
Organization subpart
No

Provider details

NPI number
Authorized official
KAYLA GRAHAM (CREDENTIALING SPECIALIST)
(724) 698-2474
Entity
Organization

Contact information

Practice address
4708 TRANSIT RD, DEPEW, NY 14043-4862
(716) 668-3315
Mailing address
125 ENTERPRISE DR STE 100, PITTSBURGH, PA 15275-1223
(724) 698-2500

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary

Other

Enumeration date
03/06/2025
Last updated
03/06/2025
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