Organization
ADVANCED ORAL SURGERY OF BROOKLYN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSES DAVID DATSON DDS (PRESIDENT)
(718) 284-5500
Entity
Organization
Contact information
Practice address
2848 CHURCH AVE, 2ND FLOOR, BROOKLYN, NY 11226-4106
(718) 284-5500
Mailing address
2848 CHURCH AVE, 2ND FLOOR, BROOKLYN, NY 11226-4106
(718) 284-5500
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
047288
NY
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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