Organization · Type 2 NPI

Functional Facial Orthopedics

Oral and Maxillofacial Surgery (Dentist) · Wellington, FL

NPI number 1407207194 Active

Practice location

13421 S Shore Blvd, Suite 203
Wellington, FL 33414-7210

Fax (561) 537-5738

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

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 1407207194

Functional Facial Orthopedics's National Provider Identifier is 1407207194, issued on Jun 24, 2016. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Wellington, FL. The record was last updated on Jun 24, 2016.