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Organization
ORLANDO ORAL & FACIAL SURGERY PLLC
Active
Organization
ORLANDO ORAL & FACIAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVELIS GERENA (ACCOUNTS PAYABLE)
(407) 629-4444
Entity
Organization
Contact information
Practice address
2045 LEE RD, WINTER PARK, FL 32789-1836
(407) 629-4444
(407) 629-9078
Mailing address
2045 LEE RD, WINTER PARK, FL 32789-1836
(407) 629-4444
(407) 629-9078
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
NULL
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
1223X0008X
Oral and Maxillofacial Radiology Dentistry
—
NULL
1223X0008X
Oral and Maxillofacial Radiology Dentistry
—
—
174400000X
Specialist
—
NULL
174400000X
Specialist
—
—
Other
Enumeration date
10/03/2006
Last updated
06/02/2016
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