Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery |
| NPI # | 1215972716 |
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| LBN Legal business name | ARMANINI, KOLODYCHAK, & BASILE, L.L.P. | ||||||||
| Authorized official | MICHAEL KOLODYCHAK - (PARTNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 06/18/2006 | ||||||||
| Last updated | 07/21/2022 - About 4 years ago | ||||||||
| Identifiers |
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