Organization
ORAL FACIAL RECONSTRUCTION & IMPLANT CENTER OF S. FLORIDA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN LYNN PAYTON D.D.S. (VICE PRESIDENT)
(954) 475-9840
Entity
Organization
Contact information
Practice address
100 NW 82ND AVE, SUITE 101, PLANTATION, FL 33324-7809
(954) 475-9840
(954) 370-0500
Mailing address
100 NW 82ND AVE, SUITE 101, PLANTATION, FL 33324-7809
(954) 475-9840
(954) 370-0500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/20/2007
Last updated
04/03/2012
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