Bay Raea Oral & Facial Surgery

NPI #1205143419 in New Port Richey, Florida

Provider Information

NPI Number
1205143419
Entity Type
Organization
Organization Name
Bay Raea Oral & Facial Surgery
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Sep 9, 2010
Last Updated
Sep 9, 2010

Practice Location

Address
5636 GRAND BLVD
State
Florida
ZIP Code
34652-3875
Phone
(727) 845-3282

Authorized Official

Name
DR. CARY WAYNE STIMSON, DMD
Title
PRESIDENT
Phone
(727) 738-1716

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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