| NPI | 1306035423 |
|---|---|
| Doing Business As | CORAL SPRINGS ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | CHARLES D RUSSO President 954-752-1045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN0008338) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2013-04-22 |