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Organization
CENTRAL FLORIDA ORAL SURGERY PLLC
Active
Organization
CENTRAL FLORIDA ORAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAD JAFFAL D.M.D. (OWNER)
(352) 391-5550
Entity
Organization
Contact information
Practice address
1950 LAUREL MANOR DRIVE, SUITE 174, THE VILLAGES, FL 32162
(352) 391-5550
(352) 391-1096
Mailing address
1950 LAUREL MANOR DRIVE, SUITE 174, THE VILLAGES, FL 32162
(352) 391-5550
(352) 391-1096
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
08/31/2021
Last updated
08/31/2021
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