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Organization

ORAL AND MAXILLOFACIAL SURGERY OF THE PALM BEACHES, LLC

Active
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Organization

ORAL AND MAXILLOFACIAL SURGERY OF THE PALM BEACHES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROLF B WOLFROM (OWNER)
(561) 242-9990
Entity
Organization

Contact information

Practice address
1920 PALM BEACH LAKES BLVD, 105, WEST PALM BEACH, FL 33409-3512
(561) 242-9990
(561) 242-9994
Mailing address
1920 PALM BEACH LAKES BLVD, 105, WEST PALM BEACH, FL 33409-3512
(561) 242-9990
(561) 242-9994

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN8638
FL

Other

Enumeration date
01/20/2010
Last updated
01/20/2010
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