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Organization

FACIAL SURGERY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SALVATORE J FLORIO D.D.S., M.D. (PRESIDENT ORAL AND MAXILLOFACIAL SU)
(203) 261-7800
Entity
Organization

Contact information

Practice address
115 TECHNOLOGY DR, B101, TRUMBULL, CT 06611-6337
(203) 261-7800
(203) 261-8778
Mailing address
115 TECHNOLOGY DR, B101, TRUMBULL, CT 06611-6337
(203) 261-7800
(203) 261-8778

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8215
CT

Other

Enumeration date
08/08/2012
Last updated
11/28/2012
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