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Organization

ORAL & FACIAL SURGERY CENTER OF TALLAHASSEE, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BARRETT TOLLEY DDS (OWNER)
(850) 386-4602
Entity
Organization

Contact information

Practice address
3375 CAPITAL CIRCLE NE BLDG D, SUITE 2, TALLAHASSEE, FL 32308-4334
(850) 386-4602
(850) 386-4206
Mailing address
1702 RIGGINS RD, SUITE 1 & 2, TALLAHASSEE, FL 32308-5371
(850) 386-4602
(850) 386-4206

Taxonomy

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

Other

Enumeration date
10/29/2009
Last updated
10/29/2009
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