Organization
NYC ORAL SURGERY ASSOCIATES
Active
Organization
NYC ORAL SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO DEL VALLE DMD, MD (ORAL SURGEON)
(917) 450-6531
Entity
Organization
Contact information
Practice address
3353 82ND ST, SUITE #A01, JACKSON HEIGHTS, NY 11372-1447
(718) 899-7811
(347) 665-1456
Mailing address
3353 82ND ST, SUITE #A01, JACKSON HEIGHTS, NY 11372-1447
(718) 899-7811
(347) 665-1456
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
048825
NY
Other
Enumeration date
10/19/2009
Last updated
08/24/2010
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