Organization
ORAL & MAXILLOFACIAL SURGERY CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMI DOYLE (ACCOUNTS RECEIVABLE COORDINATOR)
(740) 477-8544
Entity
Organization
Contact information
Practice address
1510 COLUMBUS AVE, SUITE 120, WASHINGTON COURT HOUSE, OH 43160-1899
(740) 477-8544
Mailing address
24561 STATE ROUTE 23 SOUTH, CIRCLEVILLE, OH 43113
(740) 477-8544
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2190909
—
OH
Enumeration date
03/24/2008
Last updated
03/24/2008
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