Oral Maxillofacial Surgery Of The So Tier

NPI 1205999380 - Dentist - 1223S0112X

NPI Details
NPI 1205999380
Enumeration Date 12/19/2006
Last Updated 03/25/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MATTHEW B MATTHEW
Position SURGEON SECRETARY TREASURER
Phone (607) 733-3760
Fax (607) 734-6000
Practice Location
451 W CHURCH ST
ELMIRA NY, 14901-2636, US
Phone (607) 733-3760
Fax (607) 734-6000
Business Location
451 W CHURCH ST
ELMIRA NY, 14901-2636, US
Phone (607) 733-3760
Fax (607) 734-6000
Toxanomy
Taxonomy Code 1223S0112X
License State
License Number
Remove 1205999380 NPI Number
 

According to our database, Oral Maxillofacial Surgery Of The So Tier NPI is 1205999380, taxonomy code is 1223S0112X Oral Maxillofacial Surgery Of The So Tier physically located at 451 W Church St, Elmira NY, 14901-2636. NPI Number 1033115704 has the healthcare provider type.

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1205999380 NPI number is provided on an as is basis without warranty of any kind. 1205999380 is maintained by the National Plan & Provider Enumeration System. The contents of Oral Maxillofacial Surgery Of The So Tier are for informational purposes only.