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Organization
ORAL AND FACIAL SURGERY CENTER
Active
Organization
ORAL AND FACIAL SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAL JEFFREY LEVINE D.M.D., M.D. (PRESIDENT)
(407) 352-6301
Entity
Organization
Contact information
Practice address
200 W OAK ST, KISSIMMEE, FL 34741-4420
(407) 932-0883
(407) 932-4251
Mailing address
200 W OAK ST, KISSIMMEE, FL 34741-4420
(407) 932-0883
(407) 932-4251
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
FL
Other
Enumeration date
07/20/2006
Last updated
11/19/2013
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