Organization
UNIVIVERSITY ORAL AND FACIAL SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER RONALD MCILWAIN DMD (PRESIDENT)
(205) 556-2323
Entity
Organization
Contact information
Practice address
651 HELEN KELLER BLVD, TUSCALOOSA, AL 35404-2983
(205) 556-2323
(205) 556-2341
Mailing address
651 HELEN KELLER BLVD, TUSCALOOSA, AL 35404-2983
(205) 556-2323
(205) 556-2341
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/13/2006
Last updated
04/01/2008
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