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Organization

MANISCALCO ORAL AND FACIAL SURGERY LLC

Active
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Organization

MANISCALCO ORAL AND FACIAL SURGERY LLC

Active
Other names
Gonzalez, Carr, and Maniscalco Oral and Facial Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
LEE MICHAEL MANISCALCO MD, DMD (OWNER)
(205) 527-3091
Entity
Organization

Contact information

Practice address
101 HEATHERBROOKE PARK DR, BIRMINGHAM, AL 35242-8008
(205) 991-9787
Mailing address
101 HEATHERBROOKE PARK DR, BIRMINGHAM, AL 35242-8008
(205) 991-9787

Taxonomy

Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary

Other

Enumeration date
08/10/2022
Last updated
08/10/2022
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