Organization
GERALD W. BIRD, D.D.S., P.A.
Active
Organization
GERALD W. BIRD, D.D.S., P.A.
Active
Other names
Gerald W. Bird, D.M.D., P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD W. BIRD D.D.S. (PRESIDENT)
(321) 631-7000
Entity
Organization
Contact information
Practice address
96 WILLARD ST, SUITE 105, COCOA, FL 32922-8008
(321) 631-7000
(321) 631-5135
Mailing address
96 WILLARD ST, SUITE 105, COCOA, FL 32922-8008
(321) 631-7000
(321) 631-5135
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10251
FL
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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