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Organization
MADISON ORAL AND FACIAL SURGERY, LLC
Active
Organization
MADISON ORAL AND FACIAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAKESH SHAH MD, DMD (MANAGING MEMBER)
(205) 572-5880
Entity
Organization
Contact information
Practice address
44 HUGHES RD, SUITE 1500, MADISON, AL 35758-2237
(256) 774-3535
Mailing address
44 HUGHES RD, SUITE 1500, MADISON, AL 35758-2237
(256) 774-3535
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5551
AL
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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