Organization
MITCHELL ORAL SURGERY AND IMPLANT CENTERS PA
Active
Organization
MITCHELL ORAL SURGERY AND IMPLANT CENTERS PA
Active
Other names
MOSAIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK WAYNE MITCHELL D.D.S (OWNER)
(727) 842-5180
Entity
Organization
Contact information
Practice address
2535 LANDMARK DR STE 105, CLEARWATER, FL 33761-3930
(727) 791-6529
Mailing address
6731 MADISON ST, NEW PORT RICHEY, FL 34652-1928
(727) 842-5180
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN10802
FL
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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