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Organization
HARBOR VIEW ORAL AND FACIAL SURGERY LLC
Active
Organization
HARBOR VIEW ORAL AND FACIAL SURGERY LLC
Active
Other names
Harborview Oral and Facial Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON O ROSETTI DDS (OWNER/PROVIDER)
(228) 867-0121
Entity
Organization
Contact information
Practice address
1301 25TH AVENUE, SUITE 3, GULFPORT, MS 39501
(228) 867-0121
(228) 867-0252
Mailing address
1301 25TH AVENUE, SUITE 3, GULFPORT, MS 39501
(228) 867-0121
(228) 867-0252
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
335805
MS
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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