Organization
ADVANCED AESTHETIC CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCOS DIAZ D.D.S. (PRESIDENT)
(954) 659-9990
Entity
Organization
Contact information
Practice address
2239 N COMMERCE PKWY, SUITE #2, WESTON, FL 33326-3249
(954) 659-9990
(954) 659-9991
Mailing address
2239 N COMMERCE PKWY, SUITE #2, WESTON, FL 33326-3249
(954) 659-9990
(954) 659-9991
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN0013293
FL
Other
Enumeration date
08/24/2006
Last updated
08/22/2020
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