Organization · Type 2 NPI
Oral and Maxillofacial Surgery of Queens
Oral and Maxillofacial Surgery (Dentist) · Corona, NY
NPI number
1487935391
Active
Practice location
3775 103rd St
Corona, NY 11368-1979
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 051861 (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.
About NPI 1487935391
Oral and Maxillofacial Surgery of Queens's National Provider Identifier is 1487935391, issued on Sep 6, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Corona, NY. The record was last updated on Sep 6, 2011.