| Kissimmee Oral Surgery | |
|
3172 Bill Beck Blvd Kissimmee FL 34744-1608 | |
| (407) 483-4939 | |
| (407) 483-4941 |
| Full Name | Kissimmee Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3172 Bill Beck Blvd, Kissimmee, Florida |
| Authorized Official Name and Position | Raphael Alejandro Ason (OWNER) |
| Authorized Official Contact | 4074834939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kissimmee Oral Surgery 3172 Bill Beck Blvd Kissimmee FL 34744-1608 Ph: (407) 483-4939 | Kissimmee Oral Surgery 3172 Bill Beck Blvd Kissimmee FL 34744-1608 Ph: (407) 483-4939 |
| NPI Number | 1376972554 |
|---|---|
| Provider Enumeration Date | 11/07/2013 |
| Last Update Date | 11/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376972554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN17160 (Florida) | Primary |
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