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Organization

RAWSON & BRAXTON ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES OF WEST FL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ELLA MANZIEK (PRACTICE ADMINISTRATOR)
(850) 477-8482
Entity
Organization

Contact information

Practice address
1100 AIRPORT BLVD STE B, PENSACOLA, FL 32504-8622
(850) 477-8482
(850) 477-7604
Mailing address
1100 AIRPORT BLVD STE B, PENSACOLA, FL 32504-8622
(850) 477-8482
(850) 477-7604

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary

Other

Enumeration date
02/24/2010
Last updated
02/24/2010
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