Organization
THE CENTER FOR JAW SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA E STONE (OWNER)
(954) 981-4896
Entity
Organization
Contact information
Practice address
1040 WESTON RD STE 220, WESTON, FL 33326-1912
(954) 981-4896
Mailing address
1040 WESTON RD STE 220, WESTON, FL 33326-1912
(954) 981-4896
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12214
FL
Other
Enumeration date
09/25/2015
Last updated
10/01/2015
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