Harbor View Oral and Facial Surgery LLC
NPI #1063781086 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1063781086
- Entity Type
- Organization
- Organization Name
- Harbor View Oral and Facial Surgery LLC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Dec 20, 2011
- Last Updated
- Dec 20, 2011
Practice Location
- Address
- 1301 25TH AVENUE
- Address 2
- SUITE 3
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39501
- Phone
- (228) 867-0121
Authorized Official
- Name
- DR. JASON O ROSETTI, DDS
- Title
- OWNER/PROVIDER
- Phone
- (228) 867-0121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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