East Georgia Oral & Maxillofacial Surgery Center
NPI #1184946337 in Statesboro, Georgia
Provider Information
- NPI Number
- 1184946337
- Entity Type
- Organization
- Organization Name
- East Georgia Oral & Maxillofacial Surgery Center
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 15, 2010
- Last Updated
- Feb 15, 2010
Practice Location
- Address
- 613 E GRADY ST
- City
- Statesboro
- State
- Georgia
- ZIP Code
- 30458-5104
- Phone
- (912) 764-5435
Authorized Official
- Name
- DR. RODRIGO LORENZO URIBE, D.M.D.
- Title
- OWNER
- Phone
- (912) 764-5435
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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