Organization
MADISON ORAL AND FACIAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAKESH SHAH MD, DMD (MANAGING MEMBER)
(205) 572-5880
Entity
Organization
Contact information
Practice address
44 HUGHES RD, SUITE 1500, MADISON, AL 35758-2237
(256) 774-3535
Mailing address
44 HUGHES RD, SUITE 1500, MADISON, AL 35758-2237
(256) 774-3535
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5551
AL
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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