Organization
OROFACIAL & DENTAL IMPLANT SURGERY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OFILIO J MORALES D.M.D (PRESIDENT)
(407) 351-0575
Entity
Organization
Contact information
Practice address
7352 STONEROCK CIR, SUITE A, ORLANDO, FL 32819-8000
(407) 351-0575
(407) 363-6945
Mailing address
7352 STONEROCK CIR, SUITE A, ORLANDO, FL 32819-8000
(407) 351-0575
(407) 363-6945
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN12934
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609987635
NPI
FL
Enumeration date
09/15/2006
Last updated
01/02/2009
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