Oral Facial Reconstruction & Implant Center of S. Florida Inc.

NPI #1972703619 in Plantation, Florida

Provider Information

NPI Number: 1972703619
Entity Type: Organization
Organization Name: Oral Facial Reconstruction & Implant Center of S. Florida Inc.
Primary Specialty: Specialist
Enumeration Date: Jul 20, 2007
Last Updated: Apr 3, 2012

Practice Location

Address: 100 NW 82ND AVE
Address 2: SUITE 101
City: Plantation
State: Florida
ZIP Code: 33324-7809
Phone: (954) 475-9840

Authorized Official

Name: DR. KEVIN LYNN PAYTON, D.D.S.
Title: VICE PRESIDENT
Phone: (954) 475-9840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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