Maxillofacial Surgery Center of Huntsville, Inc.
NPI #1972716710 in Huntsville, Alabama
Provider Information
- NPI Number
- 1972716710
- Entity Type
- Organization
- Organization Name
- Maxillofacial Surgery Center of Huntsville, Inc.
- Primary Specialty
- Clinic/Center - Oral and Maxillofacial Surgery
- Enumeration Date
- May 8, 2007
- Last Updated
- Jan 29, 2008
Practice Location
- Address
- 1107 GLENEAGLES DR SW
- City
- Huntsville
- State
- Alabama
- ZIP Code
- 35801-6405
- Phone
- (256) 882-3312
Authorized Official
- Name
- LEROY A KAMELCHUK, D.D.S., M.D.
- Title
- DDS MD
- Phone
- (256) 882-3312
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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