Coastal Jaw Surgery of New Port Richey PA

NPI #1487839205 in New Port Richey, Florida

Provider Information

NPI Number
1487839205
Entity Type
Organization
Organization Name
Coastal Jaw Surgery of New Port Richey PA
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Dec 31, 2007
Last Updated
Sep 12, 2008

Practice Location

Address
6731 MADISON ST
State
Florida
ZIP Code
34652-1928
Phone
(727) 842-5180

Authorized Official

Name
DR. MARK W MITCHELL, DDS
Title
PRESIDENT
Phone
(727) 842-5180

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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Provider Name
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Provider Name
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