| NPI | 1619045374 |
|---|---|
| Doing Business As | HEARTLAND ORAL & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | LESLIE WILLIAM CELESTINA Owner 863-382-4894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN 15545) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2008-12-16 |