Organization
MIAMI ORAL FACIAL SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA LOZANO (PRESIDENT)
(305) 804-9074
Entity
Organization
Contact information
Practice address
1155 BRICKELL BAY DR APT 1103, MIAMI, FL 33131-2998
(305) 804-9074
Mailing address
1155 BRICKELL BAY DR APT 1103, MIAMI, FL 33131-2998
(305) 804-9074
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN17503
FL
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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