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Organization
WINTER HAVEN ORAL SURGERY, PA
Active
Organization
WINTER HAVEN ORAL SURGERY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE LUIS LEON RAMIREZ DMD, MD (VICE PRESIDENT)
(863) 294-7648
Entity
Organization
Contact information
Practice address
400 AVENUE K SE, SUITE # 14A, WINTER HAVEN, FL 33880-4146
(863) 294-7648
(863) 294-9045
Mailing address
400 AVENUE K SE, SUITE # 14A, WINTER HAVEN, FL 33880-4146
(863) 294-7648
(863) 294-9045
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN18539
FL
Other
Enumeration date
07/31/2012
Last updated
08/21/2014
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