Organization
PARK SLOPE ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANIUSKA T GUTIERREZ (MANAGER)
(718) 398-1969
Entity
Organization
Contact information
Practice address
805 UNION STREET, BROOKLYN, NY 11215
(718) 398-1969
(718) 398-2792
Mailing address
805 UNION STREET, BROOKLYN, NY 11215
(718) 398-1969
(718) 398-2792
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NY
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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