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Organization
ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES
Active
Organization
ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DINAH S BURROWS (BUSINESS MANAGER)
(334) 277-3492
Entity
Organization
Contact information
Practice address
7200 HALCYON SUMMIT DRIVE, MONTGOMERY, AL 36117-7047
(334) 277-3492
(334) 277-9432
Mailing address
7200 HALCYON SUMMIT DRIVE, MONTGOMERY, AL 36117-7047
(334) 277-3492
(334) 277-9432
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/26/2006
Last updated
07/21/2022
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