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Organization
ATLANTIC COAST ORAL MAXILLOFACIAL SURGERY, PC
Active
Organization
ATLANTIC COAST ORAL MAXILLOFACIAL SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER H HERTZ DDS, MD (OWNER)
(360) 830-6637
Entity
Organization
Contact information
Practice address
1010 GAR HWY, SUITE #6, SWANSEA, MA 02777-4566
(508) 676-3041
(508) 678-0222
Mailing address
1010 GAR HWY, SUITE #6, SWANSEA, MA 02777-4566
(508) 676-3041
(508) 678-0222
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
MD 00035886
WA
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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