Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery |
| NPI Number | 1093732000 |
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| LBN Legal business name | BRIAN R HABER DDS & JOSEPH A ILACQUA DDS PC | ||||||||
| Authorized official | JOSEPH ILACQUA - (PRESIDENT OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 07/16/2006 | ||||||||
| Last updated | 06/18/2008 - About 18 years ago | ||||||||
| Identifiers |
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