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Organization

UPSTATE ORAL SURGERY AND DENTAL IMPLANTS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LOGAN RAND CURTIS DDS (DR)
(910) 973-1754
Entity
Organization

Contact information

Practice address
22632 SUMMIT DR STE B, WATERTOWN, NY 13601-7233
(315) 405-4005
Mailing address
22632 SUMMIT DR STE B, WATERTOWN, NY 13601-7233
(315) 405-4005

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary

Other

Enumeration date
04/10/2019
Last updated
04/10/2019
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