Organization
SUNCOAST ORAL SURGERY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA ROWAN (SECRETARY)
(727) 560-5393
Entity
Organization
Contact information
Practice address
4809 TROUBLE CREEK RD, NEW PORT RICHEY, FL 34652-4828
(727) 560-5393
Mailing address
4809 TROUBLE CREEK RD, NEW PORT RICHEY, FL 34652-4828
(727) 560-5393
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/29/2016
Last updated
07/20/2017
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