Organization · Type 2 NPI

Suffolk Oral and Maxillofacial Ambulatory Surgery Facility, P.c.

Dental Clinic/Center · Hauppauge, NY

NPI number 1487808333 Active

Practice location

400 Townline Rd Ste 135
Hauppauge, NY 11788-2835

Fax (631) 360-0087

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X0373331 (NY)

Dental Clinic/Center: Definition to come...

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About NPI 1487808333

Suffolk Oral and Maxillofacial Ambulatory Surgery Facility, P.c.'s National Provider Identifier is 1487808333, issued on Nov 5, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Hauppauge, NY. The record was last updated on Nov 5, 2008.