Organization
ORAL MEDICINE ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALESSANDRO VILLA DDS, PHD, MPH (OWNER)
(339) 226-2744
Entity
Organization
Contact information
Practice address
8900 N KENDALL DR, MIAMI, FL 33176-2118
(415) 476-2431
Mailing address
3046 VIRGINIA ST # 3046, MIAMI, FL 33133-4524
(339) 226-2744
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
125Q00000X
Oral Medicine Dentistry
—
—
Other
Enumeration date
05/02/2022
Last updated
02/26/2024
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