Organization
ORAL-FACIAL SURGICAL ARTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD MICHAEL ACHONG DMD, MD (PRESIDENT)
(352) 243-5599
Entity
Organization
Contact information
Practice address
3180 CITRUS TOWER BLVD, CLERMONT, FL 34711
(352) 243-5599
Mailing address
13147 AUBREY LANE, WINTER GARDEN, FL 34787
(352) 243-5599
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN16913
FL
Other
Enumeration date
11/21/2006
Last updated
06/30/2011
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