Organization
PROFILES II ORAL AND FACIAL SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE SCOTLAND (OFFICE MANAGER)
(561) 622-9065
Entity
Organization
Contact information
Practice address
2560 RCA BLVD, SUITE 102, PALM BEACH GARDENS, FL 33410-3338
(561) 622-9065
Mailing address
2560 RCA BLVD, SUITE 102, PALM BEACH GARDENS, FL 33410-3338
(561) 622-9065
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN17793
FL
Other
Enumeration date
11/13/2009
Last updated
07/15/2011
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