Organization
ORAL FACIAL SURGERY CENTRE OF WAYNE & HOLMES CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT LOUIS FIORITA D.D.S.,M.S. (OWNER)
(330) 345-1582
Entity
Organization
Contact information
Practice address
208 E MILLTOWN RD, WOOSTER, OH 44691-1246
(330) 345-1582
(330) 345-0913
Mailing address
208 E MILLTOWN RD, WOOSTER, OH 44691-1246
(330) 345-1582
(330) 345-0913
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
18119
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0976207
—
OH
Enumeration date
01/22/2008
Last updated
05/03/2012
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