Advanced Aesthetic Center For Oral And Maxillofacial Surgery, Inc. | |
2239 N Commerce Pkwy Suite #2 Weston FL 33326-3249 | |
(954) 659-9990 | |
(954) 659-9991 |
Full Name | Advanced Aesthetic Center For Oral And Maxillofacial Surgery, Inc. |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 2239 N Commerce Pkwy, Weston, Florida |
Authorized Official Name and Position | Marcos Diaz (PRESIDENT) |
Authorized Official Contact | 9546599990 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Advanced Aesthetic Center For Oral And Maxillofacial Surgery, Inc. 2239 N Commerce Pkwy Suite #2 Weston FL 33326-3249 Ph: (954) 659-9990 | Advanced Aesthetic Center For Oral And Maxillofacial Surgery, Inc. 2239 N Commerce Pkwy Suite #2 Weston FL 33326-3249 Ph: (954) 659-9990 |
NPI Number | 1225145261 |
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Provider Enumeration Date | 08/24/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1225145261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN0013293 (Florida) | Primary |
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