# SCLAR ORAL SURGERY PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Florida OMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710921036
- **Authorized official:** RANDENA LEONARD (ADMINISTRATOR)
- **Authorized official phone:** (305) 661-5297

## Contact information

- **Practice address:** 7600 S RED RD, SUITE 101, SOUTH MIAMI, FL 33143-5428
- **Practice address phone:** (305) 661-5297
- **Practice address fax:** (305) 667-3503
- **Mailing address:** 7600 S RED RD, SUITE 101, SOUTH MIAMI, FL 33143-5428
- **Mailing address phone:** (305) 661-5297
- **Mailing address fax:** (305) 667-3503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DN0010151 | FL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DN8052 | FL | — |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 01/22/2013