| NPI | 1902830227 |
|---|---|
| Other Name | ORAL & MAXILLOFACIAL SURGICAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | RICHELE E RAND GREEN Practice Administrator 727-726-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: FL 15004) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-16 |