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NPI Code Detail

MEDICARE: DR. MARCO ANTONIO OSHIRO DDS

MEDICARE:  DR. MARCO ANTONIO OSHIRO  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry046921NY

General Provider Information

NPI Number : 1780711986
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARCO ANTONIO OSHIRO DDS
Provider Business Mailing Address
First Line : 111 LAKE AVE
Second Line :
City : TUCKAHOE
State : NY
Zip : 10707-3935
Country : US
Telephone Number : 914-793-5826
Fax Number : 914-793-6564
Provider Business Practice Location Address
First Line : 111 LAKE AVE
Second Line :
City : TUCKAHOE
State : NY
Zip : 10707-3935
Country : US
Telephone Number : 914-793-5826
Fax Number : 914-793-6564
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 07/08/2007

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Directions to “ DR. MARCO ANTONIO OSHIRO DDS” Practice Location

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