Organization
ORAL SURGERY CENTER OF WEST ORLANDO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HECTOR L BRICENO DMD (ORAL SURGEON)
(407) 656-9455
Entity
Organization
Contact information
Practice address
12200 W COLONIAL DR, SUITE 103, WINTER GARDEN, FL 34787-4125
(407) 656-9455
(407) 656-6145
Mailing address
12200 W COLONIAL DR, SUITE 103, WINTER GARDEN, FL 34787-4125
(407) 656-9455
(407) 656-6145
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
07-00004492
FL
Other
Enumeration date
05/10/2007
Last updated
05/18/2010
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