Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery |
| NPI # | 1992889695 |
| LBN Legal business name | SOUTH SHORE ORAL SURGERY ASSOC PC |
| Authorized official | DONNA VANNESS - (OFFICE MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/25/2006 |
| Last updated | 06/20/2008 - About 18 years ago |
| Identifiers | n/a |
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