Individual provider · Type 1 NPI

Ida Anjomshoaa

Oral and Maxillofacial Surgery (Dentist) · Jackson Heights, NY

NPI number 1316284763 Active

Practice location

3353 82nd St, A01
Jackson Heights, NY 11372-1447

Call (718) 899-7811 Map

Mailing address

306 Mott St, Apt #4C
New York, NY 10012

Specialties and licenses

Taxonomy	Code	License
Oral and Maxillofacial Surgery (Dentist) Primary	1223S0112X	058065 (NY)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

2 other providers at this address

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About NPI 1316284763

Ida Anjomshoaa's National Provider Identifier is 1316284763, issued on Jan 4, 2013. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Jackson Heights, NY. The record was last updated on Mar 17, 2016.