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Individual

DR. OMAR F. SUAREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
800 2ND AVE RM 812, NEW YORK, NY 10017-9222
(973) 589-5900
Mailing address
245 WAYNE AVE, CLIFFSIDE PARK, NJ 07010-2607
(201) 264-0200

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
22DI01462000
NJ
1223G0001X
General Practice Dentistry
22DI01462000
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
042834
NY
1223X2210X
Orofacial Pain Dentistry
Primary
042834
NY

Other

Enumeration date
11/20/2006
Last updated
06/08/2023
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