Organization
FRANK J. GRESKOVICH & JAMES H. BALCOM DSS PA
Active
Other names
Oral & Maxillofacial Surgery Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK S GRESKOVICH (PRESIDENT)
(850) 477-1125
Entity
Organization
Contact information
Practice address
4850 N 9TH AVE STE 4, PENSACOLA, FL 32503-2406
(850) 477-1125
Mailing address
4850 N 9TH AVE STE 4, PENSACOLA, FL 32503-2406
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5532C
AL
Other
Enumeration date
05/22/2007
Last updated
07/24/2007
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