Eastern Shore Oral, Facial and Implant Surgery Center, P.c.

NPI #1568985349 in Fairhope, Alabama

Provider Information

NPI Number
1568985349
Entity Type
Organization
Organization Name
Eastern Shore Oral, Facial and Implant Surgery Center, P.c.
Primary Specialty
Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date
Jul 24, 2017
Last Updated
Jul 21, 2022

Practice Location

Address
24172 4TH STREET
State
Alabama
ZIP Code
36532
Phone
(251) 333-1700

Authorized Official

Name
RICHARD CORDERO, DMD, MD
Title
OWNER/ SURGEON
Phone
(251) 333-1700

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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