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Organization

ORAL AND FACIAL SURGERY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HAL JEFFREY LEVINE D.M.D., M.D. (PRESIDENT)
(407) 352-6301
Entity
Organization

Contact information

Practice address
200 W OAK ST, KISSIMMEE, FL 34741-4420
(407) 932-0883
(407) 932-4251
Mailing address
200 W OAK ST, KISSIMMEE, FL 34741-4420
(407) 932-0883
(407) 932-4251

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
FL

Other

Enumeration date
07/20/2006
Last updated
11/19/2013
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