Organization
PLATTSBURGH ORAL SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY WILLIAM RAY DDS FRCD(C) (ORAL SURGEON)
(518) 562-1020
Entity
Organization
Contact information
Practice address
8 AMPERSAND DR, PLATTSBURGH, NY 12901-6500
(518) 562-1020
(518) 562-1022
Mailing address
8 AMPERSAND DRIVE, PLATTSBURGH, NY 12901
(518) 562-1020
(518) 562-1022
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
056610
NY
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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