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Organization
CITY BEAUTIFUL ORAL & FACIAL SURGERY LLC
Active
Organization
CITY BEAUTIFUL ORAL & FACIAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE J VALLE DMD, MD (DOCTOR, MANAGER)
(407) 617-3726
Entity
Organization
Contact information
Practice address
1640 N MAITLAND AVE # 1000, MAITLAND, FL 32751-3320
(407) 900-3366
Mailing address
1640 N MAITLAND AVE # 1000, MAITLAND, FL 32751-3320
(407) 900-3366
(321) 800-9394
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
11/19/2020
Last updated
02/20/2026
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