Associates in Oral and Maxillofacial , Surgery
Associates in Oral and Maxillofacial , Surgery is an Oral and Maxillofacial Surgery (Dentist) in Endicott, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
Practice location Address checks out
1003 Monroe StEndicott, NY 13760-5221
Phone: (607) 757-0455
Fax: (607) 757-9375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence 0369901 (NY) |
|---|
Record details
| NPI number | 1316075583 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Randolph Holly — Owner · (607) 757-0455 |
| NPI enumerated | March 1, 2007 |
| Last updated in NPPES | February 11, 2008 |
| Mailing address | 1003 Monroe St, Endicott, NY 13760-5221 |
Other providers in Endicott
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Randolph Holly, DDS
1003 Monroe St, Endicott, NY 13760 · (607) 757-0455