Oral-facial Surgical Arts Pa

NPI 1205901055 - Clinic/Center - 261QD0000X

NPI Details
NPI 1205901055
Enumeration Date 11/21/2006
Last Updated 06/30/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RONALD MICHAEL RONALD
Position PRESIDENT
Phone (352) 243-5599
Fax
Practice Location
3180 CITRUS TOWER BLVD
CLERMONT FL, 34711, US
Phone (352) 243-5599
Fax
Business Location
13147 AUBREY LANE
WINTER GARDEN FL, 34787, US
Phone (352) 243-5599
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State Florida
License Number DN16913
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According to our database, Oral-facial Surgical Arts Pa NPI is 1205901055, taxonomy code is 261QD0000X and license number is DN16913, license state is located at Florida. Oral-facial Surgical Arts Pa physically located at 3180 Citrus Tower Blvd, Clermont FL, 34711. NPI Number 1033115704 has the healthcare provider type.

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1205901055 NPI number is provided on an as is basis without warranty of any kind. 1205901055 is maintained by the National Plan & Provider Enumeration System. The contents of Oral-facial Surgical Arts Pa are for informational purposes only.