UPPER WEST SIDE ORAL & MAXILLOFACIAL SURGERY is an oral and maxillofacial surgery dentist in New York, NY. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. UPPER WEST SIDE ORAL & MAXILLOFACIAL SURGERY NPI is 1053921643. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
140 W 69TH ST PH 1G
NEW YORK, NY
ZIP 10023-173
Phone: (646) 734-6742
The provider's authorized official is Nam Park .
The authorized official title is Dds, Md and has the following contact phone number (646) 734-6742.
The enumeration date for this NPI number is 8/7/2020 and was last updated on 8/7/2020.