Southeastern Oral-Maxillofacial and Cosmetic Surgery Center

NPI #1275755860 in Dothan, Alabama

Provider Information

NPI Number
1275755860
Entity Type
Organization
Organization Name
Southeastern Oral-Maxillofacial and Cosmetic Surgery Center
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
May 3, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
216 HEALTHWEST DR
City
Dothan
State
Alabama
ZIP Code
36303-1942
Phone
(334) 792-2880

Authorized Official

Name
MRS. KAREN BRADSHAW
Title
ADMINISTRATOR
Phone
(334) 792-2880

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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