NPI | 1114291036 |
---|---|
Doing Business As | FLORIDA CENTER FOR ORAL & MAXILLOFACIAL SURGERY |
Entity Type | Organization |
Authorized Contact | LOREDANA FONTANA Office Manager 954-437-2222 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN-16858) |
Enumeration Date | 2012-02-24 |
Last Update Date | 2020-10-29 |