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Organization
ORAL-FACIAL & IMPLANT SURGERY, P.A.
Active
Organization
ORAL-FACIAL & IMPLANT SURGERY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY C. CAGATA D.M.D.,M.D. (PRESIDENT)
(239) 574-3323
Entity
Organization
Contact information
Practice address
2534 SE SANTA BARBARA PL # 101, CAPE CORAL, FL 33904
(239) 574-3323
(239) 574-2381
Mailing address
2534 SE SANTA BARBARA PL # 101, CAPE CORAL, FL 33904-2709
(239) 574-3323
(239) 574-2381
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
03/04/2008
Last updated
06/19/2019
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