Organization · Type 2 NPI

Profiles II Oral and Facial Surgery Center

Oral and Maxillofacial Surgery (Dentist) · Palm Beach Gardens, FL

NPI number 1124355037 Active

Practice location

2560 Rca Blvd, Suite 102
Palm Beach Gardens, FL 33410-3338

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN17793 (FL)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1124355037

Profiles II Oral and Facial Surgery Center's National Provider Identifier is 1124355037, issued on Nov 13, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Palm Beach Gardens, FL. The record was last updated on Jul 15, 2011.