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Organization
PREMIER ORAL & FACIAL SURGERY
Active
Organization
PREMIER ORAL & FACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDONIS TEREZIDES DDS (MANAGER)
(407) 621-1900
Entity
Organization
Contact information
Practice address
13571 NARCOOSSEE ROAD, ORLANDO, FL 32832-6952
(407) 553-2894
Mailing address
13571 NARCOOSSEE ROAD, ORLANDO, FL 32832
(407) 553-2894
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
07/11/2019
Last updated
12/05/2021
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