Organization
ADVANCED ORAL SURGERY OF BROOKLYN, PLLC
Active
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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