| Advanced Bronx Oral Surgery | |
|
237 Willis Ave Bronx NY 10454-2678 | |
| (718) 292-6209 | |
| Not Available |
| Full Name | Advanced Bronx Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 237 Willis Ave, Bronx, New York |
| Authorized Official Name and Position | Alexander Musheyev (DIRECTOR) |
| Authorized Official Contact | 7182926209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Bronx Oral Surgery 237 Willis Ave Bronx NY 10454-2678 Ph: (718) 292-6209 | Advanced Bronx Oral Surgery 237 Willis Ave Bronx NY 10454-2678 Ph: (718) 292-6209 |
| NPI Number | 1497038608 |
|---|---|
| Provider Enumeration Date | 09/23/2011 |
| Last Update Date | 09/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497038608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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