Vidalia Oral and Maxillofacial Surgery, P.c.

NPI #1063682680 in Vidalia, Georgia

Provider Information

NPI Number
1063682680
Entity Type
Organization
Organization Name
Vidalia Oral and Maxillofacial Surgery, P.c.
Primary Specialty
Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date
Mar 11, 2008
Last Updated
Mar 11, 2008

Practice Location

Address
310 MAPLE DR
State
Georgia
ZIP Code
30474-8909
Phone
(912) 537-4119

Authorized Official

Name
DR. RONALD O MOSLEY, D.M.D.
Title
PRESIDENT
Phone
(912) 537-4119

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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