Organization
ORAL & FACIAL SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD A. MORETTI DMD,PA (OWNER)
(561) 439-6600
Entity
Organization
Contact information
Practice address
4765 S CONGRESS AVE, LAKE WORTH, FL 33461-4700
(561) 439-6600
Mailing address
4765 S CONGRESS AVE, LAKE WORTH, FL 33461-4700
(561) 439-6600
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6230
FL
Other
Enumeration date
05/29/2007
Last updated
03/21/2008
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