COASTAL JAW SURGERY OF NEW PORT RICHEY PA

NEW PORT RICHEY, FL
NPI1487839205
Entity TypeOrganization
Authorized ContactMARK W MITCHELL
President
727-842-5180
Organization Subpart ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
Enumeration Date2007-12-31
Last Update Date2008-09-12
Business Address
COASTAL JAW SURGERY OF NEW PORT RICHEY PA
6731 MADISON ST
NEW PORT RICHEY, FL 34652-1928
Phone number: 727-842-5180
Mailing Address
COASTAL JAW SURGERY OF NEW PORT RICHEY PA
6731 MADISON ST
NEW PORT RICHEY, FL 34652-1928
Phone number: 727-842-5180
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