| The Center For Jaw Surgery | |
|
4420 Sheridan St Ste B Hollywood FL 33021-3552 | |
| (954) 981-4896 | |
| Not Available |
| Full Name | The Center For Jaw Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4420 Sheridan St Ste B, Hollywood, Florida |
| Authorized Official Name and Position | Ira E Stone (OWNER) |
| Authorized Official Contact | 9549814896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Jaw Surgery 4420 Sheridan St Ste B Hollywood FL 33021-3552 Ph: (954) 981-4896 | The Center For Jaw Surgery 4420 Sheridan St Ste B Hollywood FL 33021-3552 Ph: (954) 981-4896 |
| NPI Number | 1083082713 |
|---|---|
| Provider Enumeration Date | 09/11/2015 |
| Last Update Date | 04/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083082713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12214 (Florida) | Primary |
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