Craniofacial, Reconstructive and Cosmetic Surgery Associates, LLC
NPI #1447673173 in South Miami, Florida
Provider Information
- NPI Number
- 1447673173
- Entity Type
- Organization
- Organization Name
- Craniofacial, Reconstructive and Cosmetic Surgery Associates, LLC
- Primary Specialty
- Oral & Maxillofacial Surgery
- Enumeration Date
- Jan 31, 2014
- Last Updated
- Jan 24, 2015
Practice Location
- Address
- 6705 SW 57TH AVE STE 510
- City
- South Miami
- State
- Florida
- ZIP Code
- 33143-3644
- Phone
- (786) 471-4299
Authorized Official
- Name
- DR. STONE R THAYER, DMD, MD
- Title
- PRESIDENT
- Phone
- (786) 471-4299
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
| Oral & Maxillofacial Surgery |
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