Citrus Oral And Facial Surgery At Ocala, Llc | |
6129 W Corporate Oaks Dr Crystal River FL 34429-8732 | |
(352) 795-4994 | |
(352) 795-4609 |
Full Name | Citrus Oral And Facial Surgery At Ocala, Llc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 6129 W Corporate Oaks Dr, Crystal River, Florida |
Authorized Official Name and Position | Misty C Blomberg (OFFICE MANAGER) |
Authorized Official Contact | 5225096500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Citrus Oral And Facial Surgery At Ocala, Llc 2611 Se 17th St Ste A Ocala FL 34471-5587 Ph: (352) 509-6500 | Citrus Oral And Facial Surgery At Ocala, Llc 6129 W Corporate Oaks Dr Crystal River FL 34429-8732 Ph: (352) 795-4994 |
NPI Number | 1326535279 |
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Provider Enumeration Date | 04/17/2018 |
Last Update Date | 06/21/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326535279 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN17708 (Florida) | Primary |
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