Organization
FLORIDA ORAL SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES N DEWILD MD (OWNER/MD/PRESIDENT)
(407) 330-3250
Entity
Organization
Contact information
Practice address
205 BELLAGIO CIR, SANFORD, FL 32771-5001
(407) 330-3250
(407) 330-3209
Mailing address
205 BELLAGIO CIR, SANFORD, FL 32771-5001
(407) 330-3250
(407) 330-3209
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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