Organization
SOUTH FLORIDA ORAL AND FACIAL COSMETIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD J SAWISCH DDS (DR/ORAL SURGEON)
(954) 772-2000
Entity
Organization
Contact information
Practice address
701 E COMMERCIAL BLVD, OAKLAND PARK, FL 33334-3391
(954) 772-2000
Mailing address
701 E COMMERCIAL BLVD, OAKLAND PARK, FL 33334-3391
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN15237
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN15239
FL
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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