South Florida Jaw and Facial Surgery-Dental Implants Center PA

NPI #1578114443 in South Miami, Florida

Provider Information

NPI Number
1578114443
Entity Type
Organization
Organization Name
South Florida Jaw and Facial Surgery-Dental Implants Center PA
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Sep 23, 2019
Last Updated
Sep 23, 2019

Practice Location

Address
7600 S RED RD STE 101
State
Florida
ZIP Code
33143-5429
Phone
(305) 661-5297

Authorized Official

Name
MRS. MILLIE ACOSTA FERNANDEZ
Title
PRACTICE ADMINISTRATOR
Phone
(305) 661-5297

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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