Comprehensive Oral & Maxillofacial Surgery Center

NPI 1164854774 - Clinic/Center - 261QS0112X

NPI Details
NPI 1164854774
Enumeration Date 08/06/2013
Last Updated 08/06/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JEFFREY WILLIAM JEFFREY
Position PRESIDENT
Phone (440) 934-2626
Fax (440) 934-2628
Practice Location
5319 MEADOW LANE CT
SHEFFIELD VILLAGE OH, 44035-1469, US
Phone (440) 934-2626
Fax (440) 934-2628
Business Location
5319 MEADOW LANE CT
SHEFFIELD VILLAGE OH, 44035-1469, US
Phone (440) 934-2626
Fax (440) 934-2628
Toxanomy
Taxonomy Code 261QS0112X
License State Ohio
License Number 30020221
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According to our database, Comprehensive Oral & Maxillofacial Surgery Center NPI is 1164854774, taxonomy code is 261QS0112X and license number is 30020221, license state is located at Ohio. Comprehensive Oral & Maxillofacial Surgery Center physically located at 5319 Meadow Lane Ct, Sheffield Village OH, 44035-1469. NPI Number 1033115704 has the healthcare provider type.

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1164854774 NPI number is provided on an as is basis without warranty of any kind. 1164854774 is maintained by the National Plan & Provider Enumeration System. The contents of Comprehensive Oral & Maxillofacial Surgery Center are for informational purposes only.