Organization
FACIAL AND ORAL SURGERY SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAREK KORBAN DMD, MD (OWNER)
(914) 500-8985
Entity
Organization
Contact information
Practice address
55 W RED OAK LN, WHITE PLAINS, NY 10604-3608
(914) 500-8985
(914) 500-8986
Mailing address
55 W RED OAK LN, WHITE PLAINS, NY 10604-3608
(914) 500-8985
(914) 500-8986
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03648886
—
NY
Enumeration date
07/21/2021
Last updated
07/21/2021
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