Madison Oral and Facial Surgery, LLC

NPI #1346576915 in Madison, Alabama

Provider Information

NPI Number
1346576915
Entity Type
Organization
Organization Name
Madison Oral and Facial Surgery, LLC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Nov 2, 2009
Last Updated
Nov 2, 2009

Practice Location

Address
44 HUGHES RD
Address 2
SUITE 1500
State
Alabama
ZIP Code
35758-2237
Phone
(256) 774-3535

Authorized Official

Name
DR. RAKESH SHAH, MD, DMD
Title
MANAGING MEMBER
Phone
(205) 572-5880

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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